Insurance Follow Up Specialist - Dallas-Fort Worth, Tx

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

Benefits offered by this job

Health coverage 75%

PTO 15 days

6 paid holidays

401k matching

Life Insurance

Professional development

Job summary

Mindful Therapy Group seeks an experienced claim specialist to independently resolve complex insurance balances, denials, and claim-processing issues across commercial, Medicare, and Medicaid payers.

This is not an entry-level 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 and denial management. The role emphasizes ownership from initial denial to final resolution.

Qualifications

• At least 2 years of direct medical insurance A/R follow-up and claim-resolution experience in a healthcare billing environment.
• Hands-on experience working commercial insurance, Medicare, Medicaid, and managed Medicaid claims.
• Strong written and verbal communication skills 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 work outstanding insurance A/R, focusing on denied, rejected, and aged claims (120+ days).
• Analyze denial reason codes, payer correspondence, eligibility/benefits, and filing-limit concerns to determine next actions.
• Submit and track corrected claims, reprocessed claims, reconsiderations, appeals, medical-record submissions, and other payer documentation.
• Navigate commercial payer portals and communicate with payer representatives to obtain status, denial details, payment information, and commitments.
• Communicate claim status and needed actions to providers and internal teams in a professional, solutions-focused manner.
• Post insurance payments and adjustments accurately, aligning with remittance advice and resolution outcomes.
• Maintain thorough documentation in the EHR (AdvancedMD) and tracking tools for team clarity.

Skills

Medical insurance A/R

Claim resolution

Payer outreach

Denial management

EHR systems

Tools

AdvancedMD

Microsoft Excel

Outlook

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.