Insurance Follow-Up Specialist

🔥 7 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

💼 Consulting

🏥 Healthcare

📦 Logistics

Consulting • Healthcare • Logistics

Meduit | Driving Revenue Cycle Performance is a technology-driven healthcare revenue cycle management (RCM) company that combines RCM expertise with AI, robotic process automation, predictive analytics and patient engagement tools to optimize cash flow, reduce denials, and improve patient satisfaction for hospitals, health systems and large practices. Their services include pre-service solutions, centralized pre-registration, patient financing, business office services, denials resolution, billing & follow-up, legacy A/R work down, government reimbursement services, and AI offerings such as MeduitAI™, SARA conversational and robotic automation, automated pre-authorization and claims follow-up. Meduit also provides consulting, reporting & analytics, staffing, specialized recoveries and comprehensive business office services to help providers accelerate revenue and mitigate operational challenges.

📋 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 • Reports to the Insurance Supervisor

🎯 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) • Secure and private workspace within the home • Reliable wired (preferred) high-speed internet connection • Minimum internet speeds of 30 Mbps download and 10 Mbps upload • Ability to maintain a professional and distraction-free work environment during scheduled working hours • Legally authorized to work in the United States at the time of hire • Must complete a pre-employment background check • Candidates must not reside in the state of New York • 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

🏖️ Benefits

• Medical, Dental & Vision • 401(k) with Company Match • Paid Wellness Time & Holidays • Employer-Paid Life Insurance & LTD • Paid Training • Internal Growth Opportunities