Insurance Follow-Up Agent

Automatic Data Processing, Inc.; Meridian (ID); Hybrid; USD 31,000 - 35,000; Full time

Job summary

FMS, Inc. is seeking a proactive Medical Insurance Follow-Up Agent to join our Revenue Cycle team in Boise, ID. You will ensure timely follow-up on medical insurance claims, resolve denials, and collaborate with billing and patient services to maximize reimbursement.

Ideal candidates have 1+ year in medical billing or follow-up, strong knowledge of EOBs and payer guidelines, and excellent communication. The role requires adherence to HIPAA and the ability to work with secure remote tools if

Qualifications

• Requires 1+ year in medical billing, insurance follow-up or healthcare collections.
• Familiarity with commercial, Medicare, and Medicaid plans preferred.
• Strong knowledge of EOBs, denials, appeals, and reimbursement processes.

Responsibilities

• Follow up on outstanding insurance claims via phone, portals, or written communication.
• Investigate and resolve denied, delayed, or underpaid claims with payers.
• Review EOBs and remittance advice for proper adjudication.
• Identify trends in denials or delays and escalate as needed.
• Document all claim activity and communications in the billing system.

Skills

Medical billing

Insurance follow-up

Healthcare collections

EOBs & denials

Communication

Attention to detail

Microsoft Office

Billing software

Education

High school diploma or equivalent

Associate degree or coursework in healthcare administration/billing

Tools

Billing software

Microsoft Office

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Insurance Follow-Up Agent

St. Luke's Active - Regular full-time Clerical Boise, ID, Boise, ID, US

3 days ago Requisition ID: 1165

Salary Range: $15.00 To $15.00 Annually

JOB SUMMARY:

FMS, Inc. is seeking a proactive and detail-oriented Medical Insurance Follow-Up Agent to join our Revenue Cycle team. In this role, you will be responsible for ensuring timely and accurate follow-up on medical insurance claims. Your primary goal is to identify and resolve issues that prevent reimbursement, while maintaining compliance with all payer and regulatory guidelines.

JOB DUTIES AND RESPONSIBILITIES:

• Conduct timely follow-up on outstanding insurance claims via phone, online portals, or written correspondence.
• Investigate and resolve denied, delayed, or underpaid claims by communicating with insurance companies and third-party payers.
• Review Explanation of Benefits (EOBs) and remittance advice to ensure proper claim adjudication.
• Identify trends in denials or payment delays and elevate issues as necessary.
• Document all claim activity and communications accurately in the billing system.
• Verify insurance coverage and eligibility when required for follow-up activities.
• Collaborate with billing, coding, and patient services teams to resolve discrepancies.
• Maintain compliance with HIPAA and other applicable laws and guidelines related to medical billing and patient privacy.
• Meet department productivity and quality standards.

JOB QUALIFICATIONS:

• Education:
  • High school diploma or equivalent required.
  • Associate degree or coursework in healthcare administration, billing, or a related field preferred.
• Experience:
  • 1+ year of experience in medical billing, insurance follow-up, or healthcare collections required.
  • Familiarity with commercial, Medicare, and Medicaid insurance plans strongly preferred.
• Strong knowledge of EOBs, claim denials, appeals, and reimbursement processes.
• Excellent verbal and written communication skills.
• Strong organizational and time management skills.
• Proficiency in medical billing software and Microsoft Office (Excel, Outlook, Word).
• Ability to work independently and as part of a team.
• High attention to detail and accuracy.
• Proficient typist with ability to operate and navigate multiple computer systems with ease.

WORK-FROM-HOME REQUIREMENTS:

• Reliable high-speed internet and secure, quiet workspace
• Employee-provided WFH equipment
• Desktop & Dual Monitors - 4vCPU with minimum 1.6 GHz or faster processor. For higher video/screen share resolution and frame rate, a four-core processor or better is required
• RAM: 8000 MB
• Hard Drive: 6 GB or more
• .NET Framework version 4.6.1 or later
• Windows 10/11
• Mouse
• Headset
• Webcam
• Comfortable using video conferencing tools throughout each scheduled shift
• Ability to maintain confidentiality and protect patient health information (PHI) in a remote environment