Insurance Follow-Up Specialist – Eastern Time, Central Time

🔥 3 minutes ago

🇺🇸 United States – Remote

💵 $18 - $22 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔒 Insurance

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Meduit | Driving Revenue Cycle Performance

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2017

🏥 Healthcare

💸 Finance

🤝 B2B

Healthcare • Finance • B2B

Meduit is a parent organization of leading Revenue Cycle Management (RCM) companies (including MedA/Rx and Receivables Management Partners) focused on improving revenue cycle performance for healthcare organizations and the patients they serve. It provides accounts receivable and receivables management, extended business office services, medical debt collection, patient financing, insurance denial management, overpayment recovery, payment monitoring, compliance, data analytics and security, and patient-facing customer service. Meduit serves more than 500 hospitals and physician practices across 47 states, combining technology, people-focused patient engagement, and financial consulting to accelerate cash flow and improve financial, operational and clinical performance for healthcare providers.

📋 Description

• Research and resolve denied, unpaid, underpaid, or incorrectly processed insurance claims • Investigate claim rejections and denials by contacting insurance carriers and reviewing payer requirements • Follow up with Medicare, Medicaid, Blue Cross, and commercial insurance carriers to obtain claim status updates and payment resolution • Analyze denial codes, remittance advice, payer correspondence, and claim documentation to identify root causes and determine appropriate next steps • Correct claim errors and facilitate claim resubmission to support timely reimbursement • Prepare and submit appeals, reconsiderations, corrected claims, and supporting documentation as needed • Manage assigned claim inventory and prioritize accounts to reduce aging accounts receivable • Contact patients when necessary to obtain or verify information needed to resolve billing or insurance issues • Review and update patient demographics, insurance information, and account details when necessary to facilitate claim resolution • Document all account activity, payer communications, and claim resolutions accurately and timely • Communicate professionally with insurance companies, patients, and client representatives regarding outstanding claims and balances • Identify denial trends and recurring issues and communicate findings to leadership and operational teams • Meet established productivity, quality, and cash collection performance standards • Maintain compliance with HIPAA regulations, client requirements, and company policies • Collaborate with Billing, Claims, Collections, and Client Services teams to resolve complex reimbursement issues

🎯 Requirements

• High School Diploma or GED • 2+ years of experience in insurance follow-up, denials management, accounts receivable (AR) follow-up, medical billing, healthcare collections, or related healthcare revenue cycle functions • Experience working with Medicare, Medicaid, and commercial payers • Experience with hospital billing and/or physician billing processes • Experience verifying insurance eligibility, benefits, authorizations, and resolving payer-related claim issues • Knowledge of patient billing, claims submission, reimbursement, denial resolution, and follow-up processes • Experience using Epic within healthcare revenue cycle systems • Proficiency with Microsoft Office (Outlook, Word, and Excel) • Preferred: 3+ years of healthcare revenue cycle, insurance follow-up, denial management, or medical billing experience • Preferred: Experience in a hospital, physician practice, or healthcare revenue cycle environment • Preferred: Experience using Cerner, Meditech, or other healthcare information systems • Preferred: Experience obtaining prior authorizations and navigating payer-specific requirements • Preferred: Experience utilizing payer portals such as Availity, NaviNet, Experian Health, or similar platforms • Preferred: Knowledge of medical terminology, CPT, HCPCS, and ICD-10 coding principles • Preferred: Previous remote healthcare revenue cycle experience

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