Medical Insurance AR Follow-Up Specialist

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🔥 0 minutes ago

⛰️ Colorado, Florida, +12 more states – Remote

⛰️ Colorado – Remote 🐊 Florida – Remote 🌪️ Kansas – Remote 🌶️ New Mexico – Remote 🌲 North Carolina – Remote 🌲 Oregon – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote 🦬 Wyoming – Remote

💵 $20 - $23 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔒 Insurance

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Panorama

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2009

🏥 Healthcare

✈️ Travel

💼 Consulting

Healthcare • Travel • Consulting

Panorama is a global collective of leadership experts that focuses on fostering diversity, creativity, and shared expertise for the benefit of its clients. The firm specializes in executive search and leadership advisory services across various industries, including health and life sciences, higher education, industrial and energy sectors, private equity, professional services, and the public sector. With a partner-owned, boutique approach, Panorama collaborates with organizations to identify and cultivate resilient leadership that addresses both local and global challenges.

📋 Description

• Review and follow up on unpaid, denied, or underpaid medical claims with insurance carriers • Utilize payer portals, phone calls, and email communications to resolve outstanding claims • Research and resolve claim discrepancies, including coding errors and eligibility issues • Identify root causes of claim denials and initiate appeals or corrections • Maintain accurate documentation of all follow-up actions in the system • Collaborate with billing and coding teams to prevent future claim issues • Communicate with patients regarding claim status and balances when necessary • Prepare and submit timely appeals for denied claims with appropriate documentation • Ensure compliance with healthcare regulations, payer-specific guidelines, and company policies

🎯 Requirements

• Strong knowledge of claim submission, follow-up, denials, and appeals • Ability to identify patterns, resolve claim issues, and improve processes • Strong verbal and written communication skills • Ability to manage high volumes of claims with accuracy • Experience with insurance payer systems, portals, and medical billing software • Minimum of 2 years of experience in medical billing, coding, or accounts receivable follow-up • High school diploma or equivalent • Associate’s degree or certification in medical billing and coding preferred • Proficiency in MS Office (Word, Excel) • Experience with the EHR system, NextGen • Strong knowledge of Medicare, Medicaid, and commercial insurance policies • Candidates must reside in CO, FL, KS, MA, MI, MO, NM, OR, PA, SC, VA, WY, TX, or NC

🏖️ Benefits

• PTO Accruals Start at 3 Weeks • Comprehensive Medical and Dental Insurance • Company-Paid Optical Allowance • Company-Paid Routine Eye Care • Short-Term and Long-Term Disability Insurances • Educational Allowance • Paid Holiday Program • 401K with Company Match