Insurance Claims & Reimbursement Specialist

CHI Health Clinic; United States; On-site; USD 42,000 - 60,000; Full time

Job summary

CHI Health Clinic is seeking an Insurance Follow Up Representative to resolve unpaid claims and collect balances from third-party payers. You will review denials, initiate follow-up with insurers, correct billing errors, submit appeals, and negotiate for maximum reimbursement.

You should understand billing regulations, possess strong problem-solving skills, and communicate effectively to optimize revenue recovery across a network of clinics.

Qualifications

• Two years of revenue cycle or related work experience.
• Experience with a practice management system and billing workflows.
• Familiarity with Explanation of Benefits (EOBs) and payer requirements.

Responsibilities

• Follows-up with insurance payers to research and resolve unpaid accounts receivable.
• Reviews EOBs and remittance advices to ensure correct payment.
• Communicates with payers by phone and in writing to explain balances and denials.
• Resubmits claims with required information when requested.
• Identifies trends in denials and escalates issues per protocol.

Skills

Insurance follow-up

Revenue cycle

EOB interpretation

Education

High School Diploma or GED

Medical billing program certificate

Post-secondary business program

Job description

CHI Health Clinic is seeking an Insurance Follow Up Representative to resolve unpaid claims and collect balances from third-party payers. You will review denials, initiate follow-up with insurers, correct billing errors, submit appeals, and negotiate for maximum reimbursement.

You should understand billing regulations, possess strong problem-solving skills, and communicate effectively to optimize revenue recovery across a network of clinics.