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FileImport - Signature Performance
Follow Up Specialist I - Remote/Nationwide
Career Insights for Claims Adjuster / Specialist (General)
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What they do
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.
$78,916 / year median in the U.S.
+12% projected growth
Job Description
Follow Up Specialist I - Remote/Nationwide
This is a remote based position. Applicants can be located nationwideBack Follow Up Specialist I #2893 United States X Facebook LinkedIn Email Copy Position Description About YouYou are a person who is passionate about timely and effective follow-up on outstanding insurance claims to ensure accurate and prompt reimbursement. In the role of Follow Up Specialist, you will be responsible for analyzing account activity, investigating denied or unpaid claims, and working with insurance payers and internal departments to resolve issues and expedite payment.
Tell us about your experience with Follow Up.
Are you a team player and a self-motivator?
We are counting on you to manage multiple projects using your problem-solving skills.
We are looking for someone
Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The PositionFollow up on assigned insurance claims to ensure timely and accurate payment.
Review Explanation of Benefits (EOBs) and remittance advice for payment accuracy and claim status.
Contact insurance companies via phone, web portals, or written communication to resolve claim issues.
Identify and appeal denied or underpaid claims based on payer guidelines and documentation.
Collaborate with billing, coding, and clinical staff to obtain necessary documentation for claims resolution.
Update patient account notes in the billing system with clear and concise follow-up actions and outcomes.
Monitor aging reports and prioritize work based on payer deadlines and account balance.
Ensure compliance with federal, state, and payer-specific regulations and policies.
Meet individual and team performance goals, including productivity and quality standards.
Participate in departmental meetings, training sessions, and quality improvement initiatives as required.
Minimum of 2 years of experience in medical billing, insurance follow-up, or revenue cycle operations.
Knowledge of insurance payer requirements, CPT/ICD coding, and medical terminology.
Strong understanding of healthcare claim submission and adjudication processes.
Experience working with electronic health records (EHRs) and billing systems (e.g., Epic, Meditech, Artiva, etc.).Excellent verbal and written communication skills.
Ability to work independently, manage time effectively, and handle multiple priorities.
Strong analytical and problem-solving skills
Tell us about your experience with Follow Up.
Are you a team player and a self-motivator?
We are counting on you to manage multiple projects using your problem-solving skills.
We are looking for someone
UNCOMMON.
What is uncommon about you?Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The PositionFollow up on assigned insurance claims to ensure timely and accurate payment.
Review Explanation of Benefits (EOBs) and remittance advice for payment accuracy and claim status.
Contact insurance companies via phone, web portals, or written communication to resolve claim issues.
Identify and appeal denied or underpaid claims based on payer guidelines and documentation.
Collaborate with billing, coding, and clinical staff to obtain necessary documentation for claims resolution.
Update patient account notes in the billing system with clear and concise follow-up actions and outcomes.
Monitor aging reports and prioritize work based on payer deadlines and account balance.
Ensure compliance with federal, state, and payer-specific regulations and policies.
Meet individual and team performance goals, including productivity and quality standards.
Participate in departmental meetings, training sessions, and quality improvement initiatives as required.
Minimum Requirements:
High school diploma or equivalent required; Associate's degree in healthcare or business preferred.Minimum of 2 years of experience in medical billing, insurance follow-up, or revenue cycle operations.
Knowledge of insurance payer requirements, CPT/ICD coding, and medical terminology.
Strong understanding of healthcare claim submission and adjudication processes.
Experience working with electronic health records (EHRs) and billing systems (e.g., Epic, Meditech, Artiva, etc.).Excellent verbal and written communication skills.
Ability to work independently, manage time effectively, and handle multiple priorities.
Strong analytical and problem-solving skills