Medical Insurance AR Follow-Up Specialist - Remote

Overview

The Medical Insurance AR Follow-Up Specialist is responsible for managing and resolving unpaid, denied, or underpaid insurance claims to ensure timely reimbursement and maximize revenue.

In Short

• Review and follow up on unpaid, denied, or underpaid medical claims with insurance carriers.
• Utilize payer portals, phone calls, and email communications to resolve outstanding claims.
• Research and resolve claim discrepancies, including coding errors and eligibility issues.
• Identify the root causes of claim denials and initiate appeals or corrections as required.
• Maintain accurate documentation of all follow-up actions in the system.
• Collaborate with billing and coding teams to prevent future claim issues.
• Communicate with patients when necessary, regarding claim status and balances.
• Prepare and submit timely appeals for denied claims with appropriate documentation.
• Ensure compliance with healthcare regulations, payer-specific guidelines, and company policies.

Requirements

• Strong knowledge of claim submission, follow-up, denials, and appeals.
• Ability to identify patterns, resolve claim issues, and improve processes.
• Strong verbal and written communication skills for interacting with payers, patients, and internal teams.
• Ability to manage high volumes of claims with accuracy.
• Experience with insurance payer systems, portals, and medical billing software.
• Minimum of 2 years of experience in medical billing, coding, or accounts receivable follow-up.
• High school diploma or equivalent; Associate’s degree or certification in medical billing and coding preferred.
• Proficiency in MS Office (Word, Excel) and experience with the EHR system, NextGen.
• Strong knowledge of Medicare, Medicaid, and commercial insurance policies.

Benefits

• PTO Accruals Start at 3 Weeks
• Comprehensive Medical and Dental Insurance
• Company-Paid Optical Allowance
• Company-Paid Routine Eye Care
• Short-Term and Long-Term Disability Insurances
• Educational Allowance
• Paid Holiday Program
• 401K with Company Match