Insurance Claims Resolution Specialist

Signature Performance, Inc.; Honolulu (HI); 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

Tuition Assistance Program

401(k) Program with Employer Match

Job summary

Signature Performance, Inc. is seeking a Follow Up Specialist to ensure timely and accurate payment of insurance claims. You will analyze account activity, review EOBs, and contact payers to resolve issues, while collaborating with billing, coding, and clinical staff to obtain necessary documentation.

The role emphasizes strong communication, problem-solving, and the ability to manage multiple claims with attention to deadlines and quality standards in a healthcare setting.

Qualifications

• High school diploma or equivalent required; Associate's degree in healthcare or business preferred.
• Minimum of 2 years 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 with electronic health records (EHRs) and billing systems (Epic, Meditech, Artiva).
• Excellent verbal and written communication skills.
• Ability to work independently, manage time effectively, and handle multiple priorities.
• Strong analytical and problem-solving skills.

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 via phone, portals, or written communication to resolve 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 with clear follow-up actions and outcomes.
• Monitor aging reports and prioritize work based on payer deadlines and balances.
• 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, and quality improvement initiatives.

Skills

Communication

Teamwork

Time management

Education

Associate's degree preferred

Tools

Epic

Meditech

Artiva

Job description

Signature Performance, Inc. is seeking a Follow Up Specialist to ensure timely and accurate payment of insurance claims. You will analyze account activity, review EOBs, and contact payers to resolve issues, while collaborating with billing, coding, and clinical staff to obtain necessary documentation.

The role emphasizes strong communication, problem-solving, and the ability to manage multiple claims with attention to deadlines and quality standards in a healthcare setting.