Insurance Follow Up Specialist

🔥 1 minute ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $20 - $25 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔒 Insurance

🚫👨‍🎓 No degree required

👻 Ghost score 2%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Mindful Support Services

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2011

💼 Consulting

📣 Marketing

🏥 Healthcare

Consulting • Marketing • Healthcare

Mindful Support Services is a company focused on providing mental health care delivery solutions. They offer services such as a Supervised Associate Program and gather provider testimonials to ensure quality mental health care. The company emphasizes building mindful, sustainable, and meaningful mental health care delivery. They also have a senior leadership team known as 'Our Mindful Team' and offer various opportunities, including administrative positions. Additionally, Mindful Support Services engages with the community through events and celebrates diversity, such as supporting LGBTQ youth.

📋 Description

• Independently work outstanding insurance A/R, focusing on denied, rejected, and aged claims, including balances aged 120+ days. • Analyze denial reason codes, payer correspondence, eligibility and benefits information, authorization requirements, coding or claim-edit issues, and filing-limit concerns to determine the appropriate next action. • Submit and track corrected claims, reprocessed claims, reconsiderations, appeals, medical-record submissions, and other payer-required documentation. • Navigate commercial payer portals and communicate directly with payer representatives to obtain claim status, denial details, payment information, and resolution commitments. • Communicate claim status, documentation needs, and action items to providers and internal partners. • Post insurance payments and adjustments accurately when assigned, ensuring payment activity aligns with remittance advice and claim-resolution outcomes. • Maintain thorough, actionable documentation in the EHR (AdvancedMD) and related tracking tools so team members can understand claim history and next steps.

🎯 Requirements

• At least 2 years of direct medical insurance A/R follow-up and claim-resolution experience in a healthcare billing environment. • Hands-on experience working commercial insurance, Medicare, Medicaid, and managed Medicaid claims. • Strong written and verbal communication skills, with the ability to communicate professionally and effectively with payer representatives, providers, managers, and internal teams. • Experience working in an EHR or practice-management system, payer portals, clearinghouse tools, Microsoft Excel, and Outlook. • Strong attention to detail, organization, follow-through, and documentation habits. • Background check required. • Behavioral health billing and insurance A/R experience preferred. • Experience with AdvancedMD or a similar behavioral health EHR/practice-management platform preferred. • Experience with payer portals for regional and national commercial payers, including Blue Cross Blue Shield plans, Aetna, Cigna, Optum/UnitedHealthcare, Medicare contractors, and Medicaid managed-care organizations preferred. • Experience working with Apple computers and macOS preferred.

🏖️ Benefits

• 75% coverage of health, dental, and vision insurance • 15 PTO days accrued annually in first year • 6 paid holidays per year • 401k matching • Life Insurance • Professional development training and opportunities for advancement

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