A Claims Adjuster or Specialist investigates and evaluates insurance claims. Specializes in a particular type of insurance. Inspects property damage, including damage to homes, buildings and cars; reviews claims after they are submitted; may authorize or deny payment for claims. May work directly for insurers or on behalf of claimants.
This position is eligible for medical, dental, vision, and 401(k) benefits through Addison Group during the contract period.
About Our Client:
Addison Group is hiring an Insurance Follow-Up Specialist on behalf of our client for a contract-to-hire opportunity within a growing healthcare revenue cycle organization. This role supports a high-volume team focused on improving claim resolution, reducing accounts receivable aging, and ensuring accurate reimbursement across a variety of specialties. The department is undergoing restructuring and expansion, offering the chance to join a team in transition and contribute to process improvements. Key Responsibilities Work assigned accounts receivable queues to follow up on unpaid, denied, and underpaid claims Research claim issues, determine root causes, and take appropriate action to secure reimbursement Submit appeals and corrected claims in accordance with payer guidelines and deadlines Monitor claim status through resolution, ensuring timely and accurate follow-up Analyze denial trends and assist with identifying process improvement opportunities Maintain thorough and accurate documentation of all account activity and actions taken Collaborate with internal teams to resolve claim errors and system-related issues Communicate with payers through portals and direct outreach to resolve outstanding balances Ensure compliance with payer policies, contracts, and regulatory requirements Meet productivity and quality benchmarks while managing a high-volume workload
Requirements:
Minimum of 2-3 years of experience in medical billing, insurance follow-up, or accounts receivable Strong experience in physician/professional billing (profee claims required) Proficiency with Epic or similar electronic health record/billing systems is required Familiarity with clearinghouse workflows and payer portals Experience handling denials, appeals, and claim corrections Strong analytical and problem-solving skills with attention to detail Ability to work independently and manage priority-driven workloads Excellent communication skills and a collaborative, professional approach High school diploma or equivalent required Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request. #HC5
