Insurance Follow Up Specialist - Dallas-Fort Worth, Tx

Mindful Support Services; Dallas (TX); Remote; USD 28,000 - 34,000; Full time

Benefits offered by this job

Health insurance

PTO days

Paid holidays

401k matching

Life Insurance

Professional development

Job summary

Mindful Support Services is seeking an experienced claim specialist to independently resolve complex insurance balances, denials, and processing issues across commercial, Medicare, and Medicaid payers. The ideal candidate has 2+ years of hands-on insurance A/R follow-up and direct payer outreach, plus experience with AdvancedMD and payer portals.

This full-time remote role emphasizes ownership of claims from denial through final resolution, with emphasis on Washington Medicaid-related denials

Qualifications

• At least 2 years of direct medical insurance A/R follow-up and claim-resolution experience in a healthcare billing environment.
• Experience working with commercial insurance, Medicare, Medicaid, and managed Medicaid claims.
• Strong written and verbal communication skills, with the ability to communicate professionally and effectively with payer representatives, providers, managers, and internal teams.
• Experience working in an EHR or practice-management system, payer portals, clearinghouse tools, Microsoft Excel, and Outlook.
• Strong attention to detail, organization, follow-through, and documentation habits.

Responsibilities

• Independently manage outstanding insurance A/R, focusing on denied, rejected, and aged claims.
• Analyze denial reason codes, payer correspondence, eligibility and benefits information, authorization requirements, coding or claim-edit issues, and filing-limit concerns to determine the appropriate next action.
• Submit and track corrected claims, reprocessed claims, reconsiderations, appeals, medical-record submissions, and other payer-required documentation.
• Navigate commercial payer portals and communicate directly with payer representatives to obtain claim status, denial details, payment information, and resolution commitments.
• Communicate claim status, documentation needs, and action items to providers and internal partners in a clear, professional, solutions-focused manner.
• Post insurance payments and adjustments accurately when assigned, including ensuring payment activity aligns with remittance advice and claim-resolution outcomes.
• Maintain thorough, actionable documentation in the EHR (AdvancedMD) and related tracking tools so other team members can easily understand the claim history and next steps.

Skills

Insurance A/R follow-up

Claim resolution

Payer communication

Microsoft Excel

Outlook

Tools

AdvancedMD

Payer portals

Clearinghouse tools

Outlook

Microsoft Excel

Job description

Job Type: Full time, M-F

Location: Remote

Salary: $20-$25/hr (depending on experience)

About the Company

Mindful Therapy Group is a company dedicated to empowering therapists, psychologists and nurse practitioners to dive into private practice, without doing all of the leg work that comes with it. We provide high-quality billing, marketing, and administrative services to independent mental health care providers. Since opening in 2011, we have partnered with over 2,300 providers throughout our 25+ locations, and we are continuing to grow!

About the Role

We areseeking an experiencedclaim specialistto independently resolve complex outstanding insurance balances, denials, and claim-processing issues across commercial, Medicare, and Medicaid payers.

This is not an entry-level billing or payment-posting role. The ideal candidate has at least two years of hands-on insurance A/R follow-up and claim-resolution experience, including direct payer outreach, portal-based research, denial management, corrected claims, reconsiderations, appeals, and escalation of recurring payer or workflow issues. They are comfortable taking ownership of a claim frominitialdenial or nonpayment through final resolution.

We are especially interested in candidates with substantial experienceworkingWashington Medicaid claims, eligibility, authorization-related denials, managed-care plans, and state-specific billing or reimbursement requirements.

Responsibilities include:

• Independently work outstanding insurance A/R, with a focus on denied, rejected, and aged claims, including balances aged 120+ days.
• Analyze denial reason codes, payer correspondence, eligibility andbenefitsinformation, authorization requirements, coding or claim-edit issues, and filing-limit concerns todeterminetheappropriate nextaction.
• Submit and track corrected claims, reprocessed claims, reconsiderations, appeals, medical-record submissions, and other payer-required documentation.
• Navigate commercial payer portals and communicate directly with payer representatives to obtain claim status, denial details, payment information, and resolution commitments.
• Communicate claim status, documentation needs, and action items to providers and internal partners in a clear, professional, solutions-focused manner.
• Post insurance payments and adjustments accurately when assigned, including ensuring payment activity aligns with remittance advice and claim-resolution outcomes.
• Maintain thorough, actionable documentation in theEHR (AdvancedMD)and related tracking tools so other team members can easily understand the claim history and next steps.

Qualifications:

• At least2 years of direct medical insurance A/R follow-up and claim-resolution experiencein a healthcare billing environment.
• Hands-on experienceworkingcommercial insurance, Medicare, Medicaid, and managed Medicaid claims.
• Strong written and verbal communication skills, with the ability to communicate professionally and effectively with payer representatives, providers, managers, and internal teams.
• Experience working in an EHR or practice-management system, payer portals, clearinghouse tools, Microsoft Excel, and Outlook.
• Strong attention to detail, organization, follow-through, and documentation habits.

Preferred Qualifications:

• Behavioral health billing and insurance A/R experience.
• Experience withAdvancedMDor a similar behavioral health EHR/practice-management platform.
• Experience with payer portals for regional and national commercial payers, including Blue Cross Blue Shield plans, Aetna, Cigna, Optum/UnitedHealthcare, Medicare contractors, and Medicaid managed-care organizations.
• Experience working with Apple computers and macOS.

We provide our full-time employees with:

• 75% coverage of health, dental, and vision insurance
• 15 PTO days accrued annually in first year
• 6 paid holidays per year
• 401k matching
• Life Insurance
• Professional development training and opportunities for advancement

Job Type: Full time, M-F

Location: Remote

Salary: $20-$25/hr (depending on experience)

We are an equal opportunity employer with a progressive workplace based on teamwork, integrity, and customer service. We are committed to cultivating the long-term professional potential of our team. Applicants from all fields are encouraged to apply. Background check required. Come join a strong team making an impact in the service world of mental health!

It is a conflict of interest for an employee of Mindful Support Services to be a current client of Mindful Therapy Group. We request that individuals who are receiving clinical services at Mindful Therapy Group wait until their care is discontinued before beginning employment.