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Insurance Follow-Up Specialist

🔥 0 minutes ago

🇺🇸 United States – Remote

đź’µ $18 - $21 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

đź”’ Insurance

🚫👨‍🎓 No degree required

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Logo of Meduit | Driving Revenue Cycle Performance

Meduit | Driving Revenue Cycle Performance

1001 - 5000 employees

Founded 2017

đź’Ľ 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.

đź“‹ 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 next steps • Correct claim errors and facilitate claim resubmission • Prepare and submit appeals, reconsiderations, corrected claims, and supporting documentation • Manage assigned claim inventory and prioritize accounts to reduce aging accounts receivable • Contact patients to obtain or verify information needed to resolve billing or insurance issues • Review and update patient demographics, insurance information, and account details • Document account activity, payer communications, and claim resolutions accurately and timely • Communicate 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 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 insurance follow-up, denials management, medical billing, or healthcare collections experience • Experience working with Medicare, Medicaid, and commercial payers • Knowledge of patient billing, claims submission, and denial resolution processes • Proficiency with Microsoft Office, including 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 • Professional and distraction-free work environment during scheduled working hours • Legally authorized to work in the United States at the time of hire • Ability to complete video interviews, which may be recorded and transcribed • Ability to provide an internet speed test during the interview process if requested • Successful pre-employment background check • Candidates residing in New York are not eligible for this position

🏖️ Benefits

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

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