Insurance A/R Follow Up Specialist

🕒 May 27

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Remote Raven

WebsiteLinkedInAll Job Openings

11 - 50 employees

👥 HR Tech

🎯 Recruiter

🤝 B2B

HR Tech • Recruitment • B2B

Remote Raven is a company that connects businesses with highly qualified virtual assistants to fill various roles across multiple industries. They focus on providing professional, college-educated, and well-trained remote workers from the Philippines who can handle diverse tasks, including customer service, bookkeeping, digital marketing, HR, healthcare, and web development among others. Remote Raven ensures that these remote workers are fluent in English and hold relevant degrees or certifications. They offer a simple and affordable recruiting process without start-up fees, aiming to help companies streamline their staffing needs with reliable remote personnel.

📋 Description

• Make high-volume outbound calls to insurance carriers to follow up on outstanding, unpaid, and underpaid claims • Check claim status on aging accounts and document outcomes accurately in the billing system after each call • Identify the reason for non-payment — whether due to processing delays, missing information, denials, or payer-side errors — and take appropriate next steps • Request claim reprocessing, corrections, or reconsideration directly with insurance representatives when applicable • Navigate payer phone systems, hold queues, and insurance representatives professionally and persistently • Escalate complex or unresolvable accounts to the billing team with full documentation of call history and payer responses • Identify denial reason codes and document them clearly for each affected claim • Gather information from payers needed to resolve denials — including missing documentation requirements, coordination of benefits issues, or eligibility discrepancies • Communicate denial findings to the billing team so appropriate corrective action can be taken — resubmission, appeals, or patient billing • Track recurring denial patterns and report trends to the billing manager • Maintain accurate and up-to-date call logs and notes for every insurance follow-up interaction • Document payer responses, reference numbers, representative names, and promised payment dates for all calls • Update claim statuses in the billing system in real time to keep the billing team informed • Work assigned aging buckets systematically — prioritizing by dollar amount, payer deadline, and days outstanding • Monitor promised payment timelines and re-engage payers if commitments are not fulfilled • Work closely with the existing medical billing team to understand claim priorities and receive direction on which accounts need immediate attention • Communicate daily progress on assigned accounts and flag anything requiring billing team action • Provide the billing manager with regular updates on call volume, outcomes, and any payer issues that need escalation.

🎯 Requirements

• Prior experience making insurance follow-up calls in a medical billing or healthcare revenue cycle setting — this is a hard requirement • Comfortable making a high volume of outbound calls to insurance companies daily • Familiar with common denial reason codes, payer responses, and insurance claim adjudication processes • Professional and persistent phone presence — you are patient with hold times, clear with representatives, and do not give up until you have an actionable answer • Strong documentation habits — every call is logged accurately and completely before moving to the next.