Follow Up Specialist – Denials

Jobtailor; Franklin (TN); On-site; USD 40,000 - 55,000; Full time

Job summary

Jobtailor is seeking a healthcare billing specialist to review denials, communicate with insurers, and manage appeals in a fast-paced office setting. You will analyze payment data, prepare documentation, and maintain accurate records to improve revenue cycle outcomes.

Prerequisites include 2-3 years in healthcare billing or collections, 1+ year in customer service, and strong MS Office skills. This role emphasizes collaboration, accuracy, and timely follow-ups to meet performance targets.

Qualifications

• 2-3 years' experience in healthcare billing or collections.
• 1+ years' customer service experience.
• Knowledge of insurance payer/provider claims processing and data requirements.
• Strong computer proficiency, including MS Office (Word, Excel, Outlook).
• Ability to prioritize and manage multiple competing priorities in a high-volume environment.

Responsibilities

• Review denial letters and initiate follow-up actions to confirm and dispute appeal denials.
• Contact insurance companies via phone, payer portals, and email to clarify denial reasons and request reconsideration.
• Submit disputes for denials related to timely filing, missing documentation, or administrative errors.
• Provide supporting documentation such as USPS printouts, fax confirmations, email delivery receipts, and tracking numbers.
• Monitor outstanding appeals and escalates unresolved cases according to payer contract guidelines.
• Track pending decisions and proactively follow up when responses are overdue.
• Maintain detailed records of follow-up efforts, payer responses, and dispute outcomes.
• Collaborate with the team, pursue continuous improvement, and maintain a client-first approach.

Skills

Healthcare Billing

Claims Processing

Revenue Cycle Knowledge

Documentation Review

Data Analysis

Customer Service

Education

High School Diploma

GED

Tools

MS Office

Payer Portals

Document Review Software

Job description

• Review denial letters and initiate follow-up actions to confirm and dispute appeal denials
• Contact insurance companies via phone, payer portals, and email to clarify denial reasons and request reconsideration
• Submit disputes for denials related to timely filing, missing documentation, or administrative errors
• Provide supporting documentation such as USPS printouts, fax confirmations, email delivery receipts, and tracking numbers
• Monitor outstanding appeals and escalates unresolved cases according to payer contract guidelines
• Track pending decisions and proactively follow up when responses are overdue
• Maintain detailed records of follow-up efforts, payer responses, and dispute outcomes
• Collaborate with the team, pursue continuous improvement, and maintain a client-first approach
• Apply feedback, adapt to changes in processes and priorities, and perform other duties as required
• Meet departmental performance and production targets accurately and efficiently
• Handle patient health information with strict privacy and security
• Work extensively with computers, phones, and document review in a primarily office-based environment

Requirements

• High School Diploma or GED required
• 2-3 years' experience in healthcare billing or collections
• 1+ years' customer service experience
• Knowledge of insurance payer/provider claims processing and data requirements
• Knowledge of the revenue cycle process
• Strong computer proficiency, including MS Office (Word, Excel, and Outlook)
• Strong written, interpersonal, and communication skills
• Strong analytical and problem-solving skills
• Ability to collaborate with team members and cross-functional teams
• Ability to prioritize and manage multiple competing priorities and projects
• Ability to meet benchmarks and handle time-sensitive workloads in a high-volume environment
• Sound judgment when escalating disputes or transferring cases
• Timely and regular attendance
• Ability to sit for extended periods and remain stationary 50% of the time
• Ability to read and analyze medical records on screens and in print
• Ability to constantly operate a computer and other office equipment
• Equivalent combination of education and experience will be considered
• Must adhere to EnableComp's Core Values, Vision, and Mission

Demonstrates expertise in healthcare billing and collections, with a strong focus on insurance claims processing and revenue cycle management. Proficient in maintaining detailed records and collaborating effectively within teams to meet performance targets in a high-volume environment.

Highest-signal resume keywords

• Healthcare Billing Experience
• Insurance Claims Processing
• MS Office Proficiency
• Analytical Problem-Solving Skills
• Customer Service Experience

ATS Optimization Keywords

Hard Skills

• Healthcare Billing
• Claims Processing
• Revenue Cycle Knowledge
• Documentation Review
• Data Analysis

Soft Skills

• Interpersonal Skills
• Communication Skills
• Collaboration Skills
• Time Management
• Sound Judgment

Certifications & Qualifications

• High School Diploma
• GED

Industry Keywords

• Denial Management
• Appeal Process
• Patient Health Information
• Client-First Approach
• Continuous Improvement

Tools & Technologies

• MS Office
• Payer Portals
• Document Review Software