Insurance Follow-Up Specialist; Remote; Eastern Time & Time

• Pay or shift range: $18 USD to $22 USD The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and other job-related reasons.

About Us:

Meduitis a national leader in healthcare revenue cycle management, supporting hospitals and physician practices in 48 states. We focus onoptimizingpayments, 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

About the Role:

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.

Title: Insurance Follow-Up Specialist

Location: Remote, Work-From-Home – United States

Schedule: Monday – Friday, 8:00 AM - 5:00 PM Central or 8:00 AM – 5:00 PM Eastern

Department: Insurance

Reports To: Insurance Supervisor

Compensation: $18-$22 per hour

• Research and resolve denied, unpaid, underpaid, or incorrectly processed insurance claims.
• Investigate claim rejections and denials by contacting insurance carriers and reviewing payer requirements.
• Follow up with Medicare, Medicaid, Blue Cross, and commercial insurance carriers to obtain claim status updates and payment resolution.
• Analyze denial codes, remittance advice, payer correspondence, and claim documentation toidentifyroot causes and determine appropriate nextsteps.
• Correct claim errors andfacilitateclaim resubmission to supporttimelyreimbursement.
• Prepare andsubmitappeals, reconsiderations, corrected claims, and supporting documentation as needed.
• Manage assigned claim inventory and prioritize accounts to reduce aging accounts receivable.
• Contact patients when necessary to obtain or verify information needed to resolve billing or insurance issues.
• Review and update patient demographics, insurance information, and account details when necessary tofacilitateclaim resolution.
• Document all account activity, payer communications, and claim resolutions accurately andtimely.
• Communicate professionally with insurance companies, patients, and client representativesregardingoutstanding claims and balances.
• Identify denial trends and recurring issues and communicate findings to leadership and operational teams.
• Meet established productivity, quality, and cash collection performance standards.
• Maintain compliance with HIPAA regulations, client requirements, and company policies.
• Collaborate with Billing, Claims, Collections, and Client Services teams to resolve complex reimbursement issues.

• 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)

• 3+ years of healthcare revenue cycle, insurance follow-up, denial management, or medical billing experience
• Experience in a hospital, physician practice, or healthcare revenue cycle environment
• Experience using Cerner, Meditech, or other healthcare information systems
• Experience obtaining prior authorizations and navigating payer-specific requirements
• Experience utilizing payer portals such as Availity, Navi Net, Experian Health, or similar…