Follow Up Specialist

Signature Performance, Inc.; Northern (KY); Hybrid; USD 37,000 - 43,000; Full time

Benefits offered by this job

Health Insurance

Life Insurance

Paid Vacation

401(k) with Employer Match

Job summary

Signature Performance, Inc. is seeking a Follow Up Specialist to enhance our mission of lowering healthcare administrative costs. In this full-time role, you will analyze and guarantee prompt reimbursement by investigating unpaid claims while ensuring compliance with regulations.

The ideal candidate will possess strong skills in problem-solving and communication, maintaining the quality of our service. With benefits like health insurance and paid holidays, we're looking for someone truly unique.

Qualifications

• Minimum of 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.
• Strong understanding of healthcare claim submission and adjudication processes.

Responsibilities

• Follow up on assigned insurance claims to ensure timely and accurate payment.
• Review Explanation of Benefits (EOBs) and remittance advice for payment accuracy.
• Contact insurance companies to resolve claim issues.

Skills

Problem-solving

Communication skills

Analytical skills

Time management

Teamwork

Education

High school diploma or equivalent

Associate's degree in healthcare or business

Tools

CPSI EMR

EPIC EMR

Electronic Health Records (EHRs)

Job description

You are a person who is passionate about timely and effective follow-up on outstanding insurance claims to ensure accurate and prompt reimbursement. In the role of Follow Up Specialist, you will be responsible for analyzing account activity, investigating denied or unpaid claims, and working with insurance payers and internal departments to resolve issues and expedite payment.

• Tell us about your experience with Follow Up.
• Are you a team player and a self-motivator?
• We are counting on you to manage multiple projects using your problem-solving skills.
• We are looking for someone UNCOMMON. What is uncommon about you?

Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you.

About The Position

• 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.
• High school diploma or equivalent required; Associate's degree in healthcare or business preferred.
• Minimum of 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.
• Strong understanding of healthcare claim submission and adjudication processes.
• Experience working with electronic health records (EHRs) and billing systems (e.g., Epic, Meditech, Artiva, etc.).
• Excellent verbal and written communication skills.
• Ability to work independently, manage time effectively, and handle multiple priorities.
• Strong analytical and problem-solving skills

Production Requirements:

• Minimum of 1 year of CPSI EMR experience required.
• Minimum of 1 year EPIC EMR experience preferred.

About Us

You are uncommon. We are, too. We are looking for people to help us in our mission of working hard at lowering healthcare administrative costs for federal government agencies, payers, and providers. At Signature, our mission is to improve the health of our clients' business and make the lives of the people we work with better. As we continue to experience exponential growth, we are looking for uncommon individuals to enhance our vision. We will continue to accomplish our mission by leading with our values of Passion, Courage, Integrity, and Respect in all interactions, making us a consistent annual Best Places to Work organization. We need uncommon leaders with uncommon qualities to shape our uncommon culture and achieve our uncommon mission.

About the Benefits

When you are a member of Signature Performance, you are a part of a solutions-based organization where the values of passion, integrity, courage, and respect are the driving forces behind all our decision-making. We trust you to do important work and bring the best version of yourself to work every day, so we want to help you achieve a work-life balance while consistently challenging yourself. Signature believes in fully developing each one of our Associates. Our performance-driven philosophy boasts competitive pay and additional position specific incentives, where world-class training and development, resources, and events drive our award-winning culture where everyone thrives.

• Health Insurance
• Fully Paid Life Insurance
• Fully Paid Short- & Long-Term Disability
• Paid Vacation
• Paid Holidays
• Professional Development and Tuition Assistance Program
• 401(k) Program with Employer Match

Security Requirements

• U.S. Citizenship, naturalized citizenship, or permanent status is required for this position.
• All work on all positions at Signature Performance must be completed in the continental United States, Alaska, or Hawaii.

Work Schedule

Training Schedule: 7:00a - 6:00p CT or PT
Work Schedule: 7:00a - 7:00p CT or PT

Compensation Range

$27.00 - $31.00/Hour

Position Type

Full Time

This Company is an Equal Opportunity Employer, and does not discriminate on the basis of race, gender, ethnicity, religion, national origin, age, disability, veteran status, or on any other basis prohibited by law. Information on race, gender and national origin will only be used for statistical and recordkeeping purposes, and will not be used in making any employment decisions. All information provided will be kept separate from your expression of interest. Providing this information is strictly voluntary, and you will not be subjected to any adverse action or treatment if you choose not to provide this information. If you do not choose to answer these questions, we ask that you select "Decline to Identify" for each question. Thank you for your voluntary cooperation.