Insurance Follow-Up Specialist

We are looking for an Insurance Follow-Up Specialist to join a healthcare revenue cycle team in Kentucky. This contract opportunity with potential for a permanent role is ideal for someone who can manage insurance billing activity with accuracy, persistence, and strong attention to detail. The person in this role will help drive timely reimbursement by reviewing claims, resolving payer issues, and working outstanding balances through consistent follow-up.

Responsibilities:
• Prepare and submit initial insurance claims through both electronic platforms and paper processes, ensuring bills are sent out accurately and on schedule.
• Examine claim details before submission to confirm charges, coding-related edits, and billing data align with payer expectations.
• Apply current knowledge of payer-specific billing rules to identify issues, make needed corrections, and reduce avoidable denials or delays.
• Use payer portals and online resources to verify coverage, monitor claim progress, and stay informed on updates that may affect reimbursement.
• Manage daily accounts receivable work queues to pursue unpaid insurance balances and support prompt collection of outstanding amounts.
• Investigate payer denials, rejections, and clearinghouse responses, coordinate corrections, and resubmit claims or route balances appropriately when needed.
• Review patient registration and account information for completeness and accuracy to help prevent downstream billing errors.
• Process insurance credit balances correctly and support departmental expectations for quality, productivity, and follow-up performance.

Qualifications:

• Experience handling insurance follow-up within a medical billing, revenue cycle, or healthcare accounts receivable environment.
• Working knowledge of accounts receivable processes, claim status review, denial resolution, and payer reimbursement workflows.
• Ability to interpret payer requirements and apply billing corrections with a high degree of accuracy.
• Comfortable navigating payer websites, clearinghouse tools, and other online resources used for eligibility and claim research.
• Strong attention to detail with the ability to identify registration, charge, or billing discrepancies before they affect payment.
• Effective time management skills and the ability to maintain productivity while working a high-volume follow-up queue.
• Clear written and verbal communication skills for coordinating claim issues and payment resolution.
• Familiarity with healthcare billing standards, remittance review, and insurance payment adjustment practices.

Compensation

$15.68-$18.15 Hourly

About Us

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