[Hiring] Insurance Follow-Up Specialist @Meduit

Role Description

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.

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.

Qualifications

• High School Diploma or GED
• 2+ years of experience in insurance follow-up, denials management, accounts receivable (AR) follow-up, medical billing, healthcare collections, or related healthcare revenue cycle functions
• Experience working with Medicare, Medicaid, and commercial payers
• Experience with hospital billing and/or physician billing processes
• Experience verifying insurance eligibility, benefits, authorizations, and resolving payer-related claim issues
• Knowledge of patient billing, claims submission, reimbursement, denial resolution, and follow-up processes
• Experience using Epic within healthcare revenue cycle systems
• Proficiency with Microsoft Office (Outlook, Word, and Excel)

Requirements

• 3+ years of healthcare revenue cycle, insurance follow-up, denial management, or medical billing experience (preferred)
• Experience in a hospital, physician practice, or healthcare revenue cycle environment (preferred)
• Experience using Cerner, Meditech, or other healthcare information systems (preferred)
• Experience obtaining prior authorizations and navigating payer-specific requirements (preferred)
• Experience utilizing payer portals such as Availity, NaviNet, Experian Health, or similar platforms (preferred)
• Knowledge of medical terminology, CPT, HCPCS, and ICD-10 coding principles (preferred)
• Previous remote healthcare revenue cycle experience (preferred)

Benefits

• Medical, Dental & Vision
• 401(k) with Company Match
• Paid Wellness Time & Holidays
• Employer-Paid Life Insurance & LTD
• Paid Training
• Internal Growth Opportunities

Work From Home Requirements

• A secure and private workspace within their home
• A reliable wired (preferred) high-speed internet connection
• Minimum internet speeds of 30 Mbps download and 10 Mbps upload
• The ability to maintain a professional and distraction-free work environment during scheduled working hours

Employment Eligibility

• Candidates must be legally authorized to work in the United States at the time of hire
• The company does not provide employment visa sponsorship for this position
• As a condition of employment, a pre-employment background check will be conducted
• At this time, we are unable to consider candidates residing in the state of New York for this position