Insurance Claims Resolution Specialist

Signature Performance, Inc.; New York (NY); 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 Holidays

401(k) Program with Employer Match

Job summary

Signature Performance, Inc. seeks a Follow Up Specialist to drive timely, accurate reimbursement by analyzing account activity, reviewing EOBs, and resolving payer issues. You will work with insurance payers and internal teams to expedite payments and reduce days in AR.

The role requires at least 2 years in medical billing or revenue cycle, strong communication, and familiarity with EHR/billing systems. A bilingual English/Spanish background is preferred.

Qualifications

• High school diploma or equivalent required; Associate’s degree in healthcare or business preferred.
• Minimum 2 years in medical billing, insurance follow-up, or revenue cycle operations.
• Knowledge of CPT/ICD coding and medical terminology; experience with EHRs/billing systems (Epic, Meditech, Artiva, etc.).
• Strong verbal and written communication; ability to manage multiple priorities independently.

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, 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 with clear follow-up actions and outcomes.
• Monitor aging reports and prioritize work based on 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 sessions, and quality improvement initiatives.

Skills

Attention to detail

Communication

Multitasking

Problem solving

Teamwork

Education

High school diploma or equivalent

Associate's degree preferred

Tools

Epic

Meditech

Artiva

Job description

Signature Performance, Inc. seeks a Follow Up Specialist to drive timely, accurate reimbursement by analyzing account activity, reviewing EOBs, and resolving payer issues. You will work with insurance payers and internal teams to expedite payments and reduce days in AR.

The role requires at least 2 years in medical billing or revenue cycle, strong communication, and familiarity with EHR/billing systems. A bilingual English/Spanish background is preferred.