Insurance, Provider & Patient Follow-Up Specialist

(Confidential Healthcare Organization)
Full-Time | Remote

We are seeking a highly driven Insurance, Provider & Patient Follow-Up Specialist to support critical outbound workflows that directly impact patient access to care and revenue collection.

This role is responsible for proactively following up with insurance companies, medical providers, and patients to move authorizations, claims, and payments to resolution. You will navigate complex insurance processes, track down required clinical documentation, resolve denied claims, and communicate clearly with patients regarding financial responsibility.

This position is ideal for someone who is persistent, detail-oriented, and comfortable operating in fast-moving, sometimes fragmented healthcare systems.

Insurance & Authorization Follow-Up

• Proactively contact insurance carriers to expedite prior authorizations and approval timelines

• Track authorization status and follow up persistently until resolution

Provider & Documentation Coordination

• Follow up with physician offices to obtain prescriptions, clinical notes, Letters of Medical Necessity (LMNs), and corrected or missing documentation

• Identify gaps or errors in submitted documentation and coordinate corrections

Claims & Denial Resolution

• Monitor denied and pending insurance claims

• Identify root causes of denials and pursue reprocessing or appeals to drive payment

• Maintain ownership of claims through final resolution

Patient Financial Follow-Up

• Contact patients to review and collect co-insurance, deductibles, or outstanding patient responsibility balances

• Confirm payment status and provide clear, professional communication

Documentation & Systems

• Accurately document all outreach, conversations, and outcomes in internal systems

• Maintain clear records to support audits, escalations, and downstream teams

• Faster insurance authorization turnaround times

• Fewer claims stuck in denied or pending status

• Increased claim and patient payment resolution rates

• Consistent, accurate documentation across all follow-up activity

• Improved patient experience through clear and professional communication

• Experience in healthcare operations, medical billing, insurance follow-up, or revenue cycle management

• Familiarity with prior authorizations, insurance denials, and appeals processes

• Experience in DME, provider offices, or billing environments is a plus

• Persistent, professional, and comfortable with frequent outbound phone communication

• Resourceful and confident navigating insurance phone trees and provider office workflows

• Strong problem-solving skills and ability to identify the right decision-maker

• Highly organized with the ability to manage multiple open follow-ups simultaneously

• Calm and effective when handling friction, delays, or incomplete information

• Full-time, remote position

• Heavy phone-based role with consistent outbound communication

• Direct, measurable impact on patient access, satisfaction, and company revenue