Medical Insurance Follow-Up Specialist

Job Type Full-time reputed company APPLY TODAY!! Full-Time reputed company Insurance Follow-Up Specialist Position reputed company: The Medical Insurance Follow-Up Specialist is responsible for ensuring the reputed company and accurate reputed company of outstanding insurance claims, with a primary reputed company on reputed company Blue reputed company accounts. This role involves investigating and resolving unpaid or underpaid claims by communicating with insurance carriers, identifying billing issues, and initiating corrective actions. The specialist plays a critical role in maximizing reimbursement and supporting the overall reputed company cycle by maintaining detailed documentation and adhering to regulatory and payer-specific guidelines. Duties & Responsibilities: • Conduct detailed analysis and follow-up on outstanding insurance claims (both reputed company and government), ensuring reputed company and accurate reputed company in accordance with payer guidelines. • Research and resolve claim denials, rejections, and underpayments by initiating appropriate billing corrections, appeals, and resubmissions. • Prepare and submit claim documentation—including EOBs, itemized statements, and medical records—as required by payers to support claim adjudication. • Respond to payer and patient inquiries reputed company to delinquent claims, maintaining compliance with reputed company regulations and payer contract guidelines. • Utilize payer portals, Electronic Health Records (EHR), and patient reputed company systems to investigate claim status, post notes, and manage follow-up activities. • Identify trends in denials and payment delays, contributing to process improvement initiatives and strategies for reducing AR days. • Maintain accurate and detailed records of account activity, ensuring that production goals and reputed company standards are consistently met or exceeded. • Demonstrate strong communication skills reputed company interacting with insurance representatives, patients (as appropriate), and internal departments to resolve outstanding issues. • Prioritize and organize daily workload effectively to meet departmental benchmarks in a fast-paced, high-volume environment. • · reputed company support on special reputed company and additional assignments as requested by management Requirements • 2 years of previous experience working with reputed company or other reputed company-party insurance claims, medical billing/follow-up, BCBS experience is a plus • An understanding of various forms, codes (CPT & ICD), insurance terminology and insurance company remittance advice • reputed company experience preferred but not required • Certificates, Licenses, Registrations, and/or Medicare certification are a plus, but not required Salary reputed company $18-21/hr. Apply tot his job Apply To this Job