Claims Follow-Up & Resolution Specialist

Signature Performance, Inc.; Columbia (SC); Remote; USD 32,000 - 36,000; Full time

Benefits offered by this job

Health Insurance

Fully Paid Life Insurance

Fully Paid Short- & Long-Term Disabled

Paid Vacation

Paid Sick Leave

Paid Holidays

Professional Development and Tuition

401(k) Program with Employer Match

Job summary

Signature Performance, Inc. is seeking a Follow Up Specialist to ensure timely payment of insurance claims. You will analyze account activity, review EOBs, and contact payers to resolve issues, coordinating with billing, coding, and clinical staff.

The role requires a high school diploma (associate preferred), 2+ years in medical billing or revenue cycle, strong communication, and bilingual English/Spanish is a plus. This is a full-time, on-site position with competitive benefits.

Qualifications

• Minimum 2 years of experience in medical billing, insurance follow-up, or revenue cycle operations.
• Knowledge of insurance payer requirements, CPT/ICD coding, and medical terminology.
• Experience with electronic health records (EHRs) and billing systems (e.g., Epic, Meditech, Artiva).
• Excellent verbal and written communication skills.

Responsibilities

• Follow up on assigned insurance claims to ensure timely and accurate payment.
• Review Explanation of Benefits (EOBs) and remittance advice for payment accuracy and claim status.
• Contact insurance companies via phone, web portals, or written communication to resolve claim issues.
• Identify and appeal denied or underpaid claims based on payer guidelines and documentation.
• Collaborate with billing, coding, and clinical staff to obtain necessary documentation for claims resolution.
• Update patient account notes in the billing system with clear and concise follow-up actions and outcomes.
• Monitor aging reports and prioritize work based on payer deadlines and account balance.
• Ensure compliance with federal, state, and payer-specific regulations and policies.
• Meet individual and team performance goals, including productivity and quality standards.
• Participate in departmental meetings, training sessions, and quality improvement initiatives as required.

Skills

Medical billing

Insurance follow-up

Revenue cycle

Communication skills

Multitasking

Education

High school diploma or equivalent

Associate's degree in healthcare or business preferred

Tools

Epic

Meditech

Artiva

Job description

Signature Performance, Inc. is seeking a Follow Up Specialist to ensure timely payment of insurance claims. You will analyze account activity, review EOBs, and contact payers to resolve issues, coordinating with billing, coding, and clinical staff.

The role requires a high school diploma (associate preferred), 2+ years in medical billing or revenue cycle, strong communication, and bilingual English/Spanish is a plus. This is a full-time, on-site position with competitive benefits.