Job Opening: Insurance Follow-Up / Medical Biller

Position Summary:
The Insurance Follow-Up Specialist is responsible for pursuing unpaid or underpaid medical insurance claims to ensure accurate and timely reimbursement. This position requires strong attention to detail, knowledge of insurance processes, and effective communication with payers, patients, and internal departments to resolve claim issues and reduce outstanding accounts receivable.

Key Responsibilities:

• Review aging reports and prioritize follow-up on unpaid, denied, or underpaid insurance claims.

• Contact insurance companies via phone, portals, or written correspondence to resolve outstanding balances.

• Research and resolve claim denials by identifying root causes, correcting errors, and submitting appeals when necessary.

• Ensure claims are processed in compliance with payer guidelines, regulations, and organizational policies.

• Document all claim activity, payer communications, and resolution steps in the billing system.

• Collaborate with billing, coding, and other revenue cycle teams to prevent recurring denials.

• Monitor payer trends and report persistent issues to management.

• Meet established productivity and quality performance standards.

• Provide excellent customer service when interacting with patients and payers.

Qualifications:

• High school diploma or equivalent required; Associate’s degree in healthcare, business, or related field preferred.

• 1–3 years of experience in medical billing, claims follow-up, or healthcare revenue cycle strongly preferred.

• Knowledge of insurance guidelines, claims processing, and reimbursement practices.

• Familiarity with EHR/billing systems and Microsoft Office Suite.

• Strong communication, problem-solving, and organizational skills.

• Ability to work independently and meet deadlines in a fast-paced environment.