Insurance Claims Follow-Up Pro

Premier Medical Transport Inc; Costa Mesa (CA); On-site; USD 52,000 - 78,000; Full time

Benefits offered by this job

Paid weekly

401(k) match

PTO & sick leave

Medical, dental and vision insurance

Advancement opportunities

Job summary

Premier Medical Transport Inc. is seeking a Health Insurance Follow-Up Specialist to ensure timely reimbursement from insurance carriers. The role involves monitoring aging claims, resolving denials, and collaborating with billing, coding, and front-office teams to optimize cash flow.

This in-office position offers day, swing and night shifts and opportunities for advancement. Experience in medical billing and EHR systems is preferred.

Qualifications

• Minimum 1–2 years of experience in medical billing, insurance follow-up, or revenue cycle operations.
• Experience with electronic health record (EHR) and billing systems (e.g., Epic, Athena, NextGen, or similar) preferred.
• Knowledge of CPT, ICD-10, and HCPCS coding helpful.

Responsibilities

• Review aging reports and follow up on unpaid or denied insurance claims in accordance with company standards and payer timelines.
• Research and resolve claim denials, underpayments, and rejections through direct communication with insurance companies.
• Prepare and submit corrected claims, appeals, and supporting documentation as necessary.
• Maintain detailed and accurate records of all claim follow-up activities in the billing system.
• Collaborate with billing, coding, and front-office teams to address claim issues and prevent future denials.
• Verify insurance eligibility and benefits when necessary to ensure correct claim submission.
• Stay updated on insurance payer policies, coding changes, and reimbursement guidelines.
• Meet or exceed department productivity and quality performance standards.

Skills

Communication skills

Analytical thinking

Organizational skills

Multitasking

Microsoft Office

Tools

Epic

Athena

NextGen

Job description

Premier Medical Transport Inc. is seeking a Health Insurance Follow-Up Specialist to ensure timely reimbursement from insurance carriers. The role involves monitoring aging claims, resolving denials, and collaborating with billing, coding, and front-office teams to optimize cash flow.

This in-office position offers day, swing and night shifts and opportunities for advancement. Experience in medical billing and EHR systems is preferred.