Claims Resolution Specialist

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

Benefits offered by this job

Health Insurance

Fully Paid Life Insurance

Fully Paid Short- & Long-Term Disabil

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 and accurate reimbursement for outstanding insurance claims. You will analyze account activity, investigate denied or unpaid claims, and collaborate with payers and internal teams to expedite payment.

The role requires at least 2 years in medical billing or revenue cycle operations, with strong communication and multitasking skills. A bilingual English/Spanish capability is preferred.

Qualifications

• Minimum 2 years 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 such as Epic, Meditech, Artiva.

Responsibilities

• Follow up on assigned insurance claims to ensure timely and accurate payment.
• Review EOBs and remittance advice for payment accuracy and claim status.
• Contact insurance companies to resolve claim issues via phone, portals, or written communication.
• 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 with follow-up actions and outcomes.
• Monitor aging reports and prioritize work based on deadlines and balances.
• Ensure compliance with regulations and payer policies.
• Meet individual and team performance goals including productivity and quality standards.
• Participate in meetings, training, and quality improvement initiatives.

Skills

Follow-up experience

Healthcare terminology

Communication

Multitasking

Bilingual (English/Spanish)

Education

Associate degree in healthcare/business

Tools

Epic EHR

Meditech

Artiva

Job description

Signature Performance, Inc. is seeking a Follow Up Specialist to ensure timely and accurate reimbursement for outstanding insurance claims. You will analyze account activity, investigate denied or unpaid claims, and collaborate with payers and internal teams to expedite payment.

The role requires at least 2 years in medical billing or revenue cycle operations, with strong communication and multitasking skills. A bilingual English/Spanish capability is preferred.