Insurance Follow Up Specialist

UT Health San Antonio; San Antonio (TX); On-site; USD 42,000 - 62,000; Full time

Job summary

UT Health San Antonio is seeking an Insurance Follow-Up Specialist to manage unresolved claims and appeals, ensuring timely reimbursement across Medicare, Medicaid, Commercial, and Specialty payors. You will collaborate with Coding and Operations to resolve denials and verify patient benefits.

Ideal candidates have 3 years of hospital billing experience, strong attention to detail, and proficiency in Microsoft Office and EPIC. On-site role in San Antonio, TX.

Qualifications

• Three (3) years hospital business office or medical billing experience.
• Detail oriented with the ability to organize, prioritize and coordinate work within schedule constraints.
• Ability to multi-task in a fast paced, high-volume environment.
• Proficient in Microsoft Office.
• EPIC experience.

Responsibilities

• Initiates insurance follow up on unresolved appealed or unpaid claims, to ensure maximum and timely reimbursement for Medicare, Medicaid, Commercial, or Specialty insurance/program payors.
• Submits appeals and reconsiderations on claim denials via practice management system, payor portals, or mail.
• Analyze daily claim rejections from our clearing house, screen claims for pre-authorization, request and submit medical records.
• Work closely with the Coding, Payment Posting, Managed Care Operations, Provider Enrollment, and Clinical Operations to resolve claim issues.
• Review and respond to insurance correspondence letters related to recoupments, refunds, eligibility or additional requests from payors
• Assist customer service team in resolving patient billing concerns or disputes.
• Verify patient benefits and insurance eligibility, perform claims status verification, navigate through insurance websites for specific payor guidelines, and effectively communicate findings to insurance companies, management team, and clinical departments.
• Completes all other duties as assigned.

Skills

Claims Reimbursement

Education

High school graduate or equivalent

Tools

Microsoft Office

EPIC

Job description

Perform follow-up activities on outstanding insurance medical claims for Medicare, Medicaid, Commercial and Specialty insurance/program payors. Analyze, screen, and correct claim issues. Process appeals, write-offs, and determine if patient billing is necessary.

Responsibilities

• Initiates insurance follow up on unresolved appealed or unpaid claims, to ensure maximum and timely reimbursement for Medicare, Medicaid, Commercial, or Specialty insurance/program payors.
• Submits appeals and reconsiderations on claim denials via practice management system, payor portals, or mail.
• Analyze daily claim rejections from our clearing house, screen claims for pre-authorization, request and submit medical records.
• Work closely with the Coding, Payment Posting, Managed Care Operations, Provider Enrollment, and Clinical Operations to resolve claim issues.
• Review and respond to insurance correspondence letters related to recoupments, refunds, eligibility or additional requests from payors
• Assist customer service team in resolving patient billing concerns or disputes.
• Verify patient benefits and insurance eligibility, perform claims status verification, navigate through insurance websites for specific payor guidelines, and effectively communicate findings to insurance companies, management team, and clinical departments.
• Completes all other duties as assigned.

Qualifications

• Some knowledge of patient billing or collection/reimbursement procedures in a healthcare setting preferred. Experience in medical claims follow-up functions specific to processing insurance claim appeals for various payors.
• Detail oriented with the ability to organize, prioritize and coordinate work within schedule constraints and handle emergent requirements in a timely manner.
• Ability to multi-task in a fast paced, high-volume environment.
• Proficient in Microsoft Office.
• EPIC experience.

Education

• High school graduate or equivalent

Required Skills

Experience

• Three (3) years hospital business office or medical billing related experience.

Skills

• Claims Reimbursement

This position may require the ability to maintain the security and integrity of UT San Antonio and its infrastructure per Texas EO-GA-48.

Job Info

• Job Identification 8127
• Job Category Finance
• Posting Date 10/01/2026, 03:50 PM
• Locations 0126 8431 Fredericksburg Rd, San Antonio, TX, 78229, US (On-site)
• Job Schedule Full time
• Organization M3113 - UTHP ADM Coding Support, M3100 - UTHP UT Health Physicians, M1000 - Dean Medical School, UT Health Science Center, UT Health Science Center
• Department M3113 - UTHP ADM Coding Support