Insurance Follow-Up Agent

Automatic Data Processing, Inc.; Tulsa (OK); Hybrid; USD 14,000 - 17,000; Full time

Job summary

FMS, Inc. in Tulsa, OK seeks a Medical Insurance Follow-Up Agent to ensure timely and accurate claim follow-up. You'll identify issues affecting reimbursement and resolve denials while maintaining regulatory compliance.

Work with billing, coding, and patient services teams, review EOBs, and document activity in the billing system to uphold productivity and quality standards. This is a full-time role with partial remote options.

Qualifications

• High school diploma or equivalent required.
• Associate degree or related coursework preferred.
• 1+ year of medical billing or insurance follow-up experience required.
• Familiarity with commercial, Medicare, and Medicaid plans preferred.
• Strong knowledge of EOBs, denials, and reimbursement processes.
• Proficient in medical billing software and Microsoft Office.
• Able to work independently and in a team with good communication.

Responsibilities

• Follow up on outstanding insurance claims via phone, portals, or mail.
• Investigate and resolve denied, delayed, or underpaid claims.
• Review EOBs and remittance advice for proper adjudication.
• Identify trends in denials and flag for escalation.
• Document all claim activity in the billing system.
• Verify insurance coverage and eligibility as needed.
• Collaborate with billing, coding and patient services teams.
• Maintain HIPAA compliance and patient privacy.
• Meet department productivity and quality standards.

Skills

Medical billing

Insurance follow-up

Healthcare collections

EOBs & denials

Communication

Organizational skills

Microsoft Office

Billing software

Education

High school diploma or equivalent

Associate degree or related coursework

Tools

Medical billing software

Microsoft Office (Excel, Outlook, Word)

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 Partial Remote, Tulsa, OK, US

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 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