Insurance Follow-Up Specialist: Denials & Reimbursement Pro

Premier Ambulance; Costa Mesa (CA); Vor Ort; USD 57.308.000 - 78.661.000; Vollzeit

Benefits dieser Stelle

Paid Weekly

401(k) Plan with Employer Match

Paid Time Off and Sick Pay

Medical, Dental and Vision

Advancement Opportunities

Zusammenfassung

Premier Ambulance in Costa Mesa, CA is hiring a Health Insurance Follow-Up Specialist to ensure timely reimbursement from insurance carriers. You will monitor outstanding claims, resolve payment discrepancies, and coordinate with payers, patients, and internal teams to optimize cash flow.

This full-time, onsite role offers day, swing and night shifts, paid weekly, medical/dental/vision, 401(k) with employer match, paid time off, sick pay, and advancement opportunities.

Qualifikationen

• Minimum 1–2 years of experience in medical billing, insurance follow-up, or revenue cycle operations.
• Experience with electronic health record (EHR) and billing systems (e.g., Epic, Athena, NextGen, or similar) preferred.
• Knowledge of CPT, ICD-10, and HCPCS coding helpful.

Aufgaben

• Review aging reports and follow up on unpaid or denied insurance claims in accordance with company standards and payer timelines.
• Research and resolve claim denials, underpayments, and rejections through direct communication with insurance companies.
• Prepare and submit corrected claims, appeals, and supporting documentation as necessary.
• Maintain detailed and accurate records of all claim follow-up activities in the billing system.
• Collaborate with billing, coding, and front-office teams to address claim issues and prevent future denials.
• Verify insurance eligibility and benefits when necessary to ensure correct claim submission.
• Stay updated on insurance payer policies, coding changes, and reimbursement guidelines.
• Meet or exceed department productivity and quality performance standards.
• Provide excellent customer service when interacting with payers, patients, and internal staff.

Kenntnisse

Medical billing

Insurance follow-up

Revenue cycle

Analytical skills

Communication

Organizational skills

Microsoft Excel

Tools

Epic

Athena

NextGen

Jobbeschreibung

Premier Ambulance in Costa Mesa, CA is hiring a Health Insurance Follow-Up Specialist to ensure timely reimbursement from insurance carriers. You will monitor outstanding claims, resolve payment discrepancies, and coordinate with payers, patients, and internal teams to optimize cash flow.

This full-time, onsite role offers day, swing and night shifts, paid weekly, medical/dental/vision, 401(k) with employer match, paid time off, sick pay, and advancement opportunities.