Claims Follow Up Specialist - Remote

Overview

The Claims Follow Up Specialist is responsible for resolving complex insurance claims by providing daily problem resolution with insurance carriers. The goal is to recover the maximum revenue possible on each unpaid account. Reviews and provides technical direction or recommendations on claims of various complexity. Handles projects for complex claims and/or payers as assigned by the Claims Manager.

In Short

• Responsible for the follow-up on unpaid or rejected insurance claims for assigned carriers.
• Submits corrected claims for the team.
• Handles the escalation appeal process for complex rejected claims.
• Manages complex claim issues.
• Completes any escalation projects assigned by the direct manager.

Requirements

• 3-5 years of hands-on experience in a fast-paced medical billing environment.
• Previous experience in a healthcare setting.
• Experience with CPT and ICD-10.
• Solid PC and application skills.
• Ability to handle a high volume of work with speed and accuracy.
• Proven ability in collections and negotiation is preferred.
• Understanding and application of contract language to billing.
• Professional communication skills internally and with payers.
• Experience in complex denials and appeal processes.

Benefits

• Competitive compensation and total rewards package.
• Flexible PTO package including accrued PTO, paid holidays, and wellbeing days.
• High quality medical, dental, and vision insurance.
• Robust Employee Assistance Program.
• Collaborative and supportive community of team members.