Insurance Follow-Up Specialist (Remote) - Eastern Time, Central Time & Mountain Time at Med A/Rx
United States
$0.018k - $0.021k
<p><strong><span>About Us:</span></strong><span> </span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></p> <p><span>Meduit is a national leader in healthcare revenue cycle management, supporting hospitals and physician practices in 48 states. We focus on optimizing payments, allowing clients to focus on patient care, and pride ourselves on our core values: Integrity, Teamwork, Continuous Improvement, Client-Focused, and Results-Oriented. Learn more at www.meduitrcm.com. </span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></p> <p><strong><span>About the Role:</span></strong><span> </span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></p> <p><span>The Insurance Follow-Up Specialist is responsible for hospital and physician billing follow-up activities focused on resolving unpaid, underpaid, denied, or rejected insurance claims. This role works directly with Medicare, Medicaid, private payers, and commercial insurance carriers to investigate claim issues, facilitate prompt payment, and reduce outstanding accounts receivable.</span><span><br /></span></p> <p><span>Success in this role requires strong knowledge of patient billing, claims submission, payer-specific requirements, denial management, reimbursement practices, and insurance follow-up processes. The Insurance Follow-Up Specialist partners with insurance carriers, patients, clients, and internal revenue cycle teams to resolve claim challenges and maximize reimbursement for our healthcare partners.</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></p> <div><span>Title: </span><span aria-label="Plain text content control"><span></span><strong><span>Insurance Follow-Up Specialist</span></strong><span></span></span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></div> <div><span>Location: </span><span aria-label="Plain text content control"><span></span><strong><span>Remote, Work-From-Home</span></strong><span></span></span><strong><span> – </span></strong><span aria-label="Plain text content control"><span></span><strong><span>United States</span></strong><span></span></span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></div> <div><span>Schedule: </span><span aria-label="Plain text content control"><span></span><strong><span>Monday – Friday, 8:00 AM – 5:00 PM Eastern, Central Time or Pacific Time</span></strong><span></span></span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></div> <div><span>Department: </span><span aria-label="Plain text content control"><span></span><strong><span>Insurance</span></strong><span></span></span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></div> <div><span>Reports To: </span><span aria-label="Plain text content control"><span></span><strong><span>Insurance Supervisor</span></strong><span></span></span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></div> <div><span>Compensation: </span><span aria-label="Plain text content control"><span></span><strong><span>$18-$21 per hour</span></strong><span></span></span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></div> <div><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></div> <p><strong><span>Key Responsibilities:</span></strong><span> </span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></p> <ul> <li><span>Research and resolve denied, unpaid, underpaid, or incorrectly processed insurance claims.</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li> <li><span>Investigate claim rejections and denials by contacting insurance carriers and reviewing payer requirements.</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li> <li><span>Follow up with Medicare, Medicaid, Blue Cross, and commercial insurance carriers to obtain claim status updates and payment resolution.</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li> <li><span>Analyze denial codes, remittance advice, payer correspondence, and claim documentation to identify root causes and determine appropriate next steps.</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li> <li><span>Correct claim errors and facilitate claim resubmission to support timely reimbursement.</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li> <li><span>Prepare and submit appeals, reconsiderations, corrected claims, and supporting documentation as needed.</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li> <li><span>Manage assigned claim inventory and prioritize accounts to reduce aging accounts receivable.</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li> <li><span>Contact patients when necessary to obtain or verify information needed to resolve billing or insurance issues.</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li> <li><span>Review and update patient demographics, insurance information, and account details when necessary to facilitate claim resolution.</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li> <li><span>Document all account activity, payer communications, and claim resolutions accurately and timely.</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li> <li><span>Communicate professionally with insurance companies, patients, and client representatives regarding outstanding claims and balances.</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li> <li><span>Identify denial trends and recurring issues and communicate findings to leadership and operational teams.</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li> <li><span>Meet established productivity, quality, and cash collection performance standards.</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li> <li><span>Maintain compliance with HIPAA regulations, client requirements, and company policies.</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li> <li><span>Collaborate with Billing, Claims, Collections, and Client Services teams to resolve complex reimbursement issues.</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li> </ul> <p><strong><span>Required Qualifications:</span></strong><span> </span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></p> <ul> <li><span>High School Diploma or GED</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li> <li><span>2+ years of insurance follow-up, denials management, medical billing, or healthcare collections experience</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li> <li><span>Experience working with Medicare, Medicaid, and commercial payers</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li> <li><span>Knowledge of patient billing, claims submission, and denial resolution processes</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li> <li><span>Proficiency with Microsoft Office (Outlook, Word, and Excel)</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li> </ul> <p><strong><span>Preferred Qualifications:</span></strong><span> </span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></p> <ul> <li><span></span><span aria-label="Rich text content control paragraph"><span></span><span>Experience in a hospital, physician practice, or healthcare revenue cycle environment</span></span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li> <li><span aria-label="Rich text content control paragraph"><span></span><span>Experience with Epic, Cerner, Meditech, or other healthcare information systems</span></span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li> <li><span aria-label="Rich text content control paragraph"><span></span><span>Knowledge of medical terminology, CPT, HCPCS, or ICD-10 coding</span></span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li> <li><span aria-label="Rich text content control paragraph"><span></span><span>Previous remote healthcare revenue cycle experience</span><span></span></span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li> </ul> <p><strong>Work From Home Requirements<br /><br /></strong>This is a work-from-home position. Employees are expected to perform their job duties from a secure and private workspace within their home that protects confidential company and client information.</p> <p>Because employees may access protected health information (PHI), financial information, and other sensitive data, work must be performed in an environment where information cannot be viewed or overheard by others.</p> <p><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span><em>To be successful in this role, employees must have:</em> <span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></p> <ul> <li>A secure and private workspace within their home</li> <li>A reliable wired (preferred) high-speed internet connection</li> <li>Minimum internet speeds of 30 Mbps download and 10 Mbps upload</li> <li>The ability to maintain a professional and distraction-free work environment during scheduled working hours</li> </ul> <p><em>As part of our hiring process for work-from-home positions:</em> <span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></p> <ul> <li>Candidates will participate in video interviews</li> <li>Video interviews may be recorded and transcribed to support candidate evaluation, interviewer collaboration, and hiring decisions</li> <li>Candidates may be asked to complete and provide the results of an internet speed test during the interview process to verify minimum technical requirements<strong><span> </span></strong></li> </ul> <p><strong><span>Employment eligibility:</span></strong> <span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></p> <ul> <li><span> </span><span>Candidates must be legally authorized to work in the United States at the time of hire</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li> <li><span>The company does not provide employment visa sponsorship for this position</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li> <li><span>As a condition of employment, a pre-employment background check will be conducted</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li> <li><span>At this time, we are unable to consider candidates residing in the state of New York for this position</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li> </ul> <p><strong><span>What We Offer:</span></strong><span> </span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></p> <p>✓ Medical, Dental & Vision <br />✓ 401(k) with Company Match <br />✓ Paid Wellness Time & Holidays <br />✓ Employer-Paid Life Insurance & LTD <br />✓ Paid Training <br />✓ Internal Growth Opportunities</p> <p><span>Meduit is an Equal Opportunity Employer. We do not discriminate based on any protected class and welcome applicants from all backgrounds, consistent with applicable laws. Employment is contingent upon successful completion of a background check, satisfactory references, and any required documentation. </span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></p> <p><span>Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position. </span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></p> <p><span aria-label="Plain text content control"><span>#LI-Remote </span></span></p>
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