Insurance Follow-Up Specialist (Remote) - Eastern Time & Central Time

Meduit; Sartell (MN); Hybrid; USD 25,000 - 30,000; Full time

Benefits offered by this job

Medical coverage

401(k) match

Paid holidays

Training and growth

Life Insurance

Job summary

Meduit is seeking an Insurance Follow-Up Specialist (Remote) to work from home across Eastern and Central time zones. The role focuses on resolving denied and unpaid insurance claims by contacting carriers, reviewing payer guidelines, and submitting timely reimbursements.

The candidate should have 2+ years in insurance follow-up and experience with Medicare/Medicaid. The position offers a remote work setup with standard business hours, a pay range of $18–$22 per hour, and opportunities to

Qualifications

• Knowledge of patient billing, claims submission and denial resolution.
• Experience with Medicare, Medicaid and commercial payers.
• Experience verifying insurance eligibility and payer requirements.

Responsibilities

• Research and resolve denied, unpaid, underpaid or incorrectly processed claims.
• Investigate denials by contacting carriers and reviewing payer requirements.
• Follow up with Medicare, Medicaid, and commercial payers for status updates and payment.
• Analyze denial codes and remittance advice to determine next steps.
• Correct claim errors and resubmit to support timely reimbursement.
• Prepare and submit appeals and supporting documentation as needed.
• Manage claim inventory and prioritize accounts to reduce aging AR.
• Communicate with patients to verify information for resolution.
• Update demographics and insurance details to facilitate resolution.

Skills

Billing knowledge

Denial management

Payer follow-up

Communication skills

Education

High School Diploma or GED

Tools

Epic

Microsoft Office

Job description

Insurance Follow-Up Specialist (Remote) - Eastern Time & Central Time

• Pay or shift range: $18 USD to $22 USD The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and other job-related reasons.

Description

About Us:

Meduitis a national leader in healthcare revenue cycle management, supporting hospitals and physician practices in 48 states. We focus onoptimizingpayments, allowing clients to focus on patient care, and pride ourselves on our core values: Integrity, Teamwork, Continuous Improvement, Client-Focused, and Results-Oriented.Learn more at www.meduitrcm.com.

About the Role:

The Insurance Follow-Up Specialistis responsible forhospital and physician billing follow-up activities focused on resolving unpaid, underpaid, denied, or rejected insurance claims. This role works directly with Medicare, Medicaid,privatepayers, and commercial insurance carriers to investigate claim issues,facilitateprompt payment, and reduce outstanding accounts receivable.

Success in this role requires strong knowledge of patient billing, claims submission, payer-specific requirements, denial management, reimbursement practices, and insurance follow-up processes. The Insurance Follow-Up Specialist partners with insurance carriers, patients, clients, and internal revenue cycle teams to resolve claim challenges and maximize reimbursement for our healthcare partners.

Title: Insurance Follow-Up Specialist

Location: Remote, Work-From-Home – United States

Schedule: Monday – Friday, 8:00 AM - 5:00 PM Central or 8:00 AM – 5:00 PM Eastern

Department: Insurance

Reports To: Insurance Supervisor

Compensation: $18-$22 per hour

Key Responsibilities:

• Research and resolve denied, unpaid, underpaid, or incorrectly processed insurance claims.
• Investigate claim rejections and denials by contacting insurance carriers and reviewing payer requirements.
• Follow up with Medicare, Medicaid, Blue Cross, and commercial insurance carriers to obtain claim status updates and payment resolution.
• Analyze denial codes, remittance advice, payer correspondence, and claim documentation toidentifyroot causes and determineappropriate nextsteps.
• Correct claim errors andfacilitateclaim resubmission to supporttimelyreimbursement.
• Prepare andsubmitappeals, reconsiderations, corrected claims, and supporting documentation as needed.
• Manage assigned claim inventory and prioritize accounts to reduce aging accounts receivable.
• Contact patients when necessary to obtain or verify information needed to resolve billing or insurance issues.
• Review and update patient demographics, insurance information, and account details when necessary tofacilitateclaim resolution.
• Document all account activity, payer communications, and claim resolutions accurately andtimely.
• Communicate professionally with insurance companies, patients, and client representativesregardingoutstanding claims and balances.
• Identify denial trends and recurring issues and communicate findings to leadership and operational teams.
• Meet established productivity, quality, and cash collection performance standards.
• Maintain compliance with HIPAA regulations, client requirements, and company policies.
• Collaborate with Billing, Claims, Collections, and Client Services teams to resolve complex reimbursement issues.

Required Qualifications:

• High School Diploma or GED
• 2+ years of experience in insurance follow-up, denials management, accounts receivable (AR) follow-up, medical billing, healthcare collections, or related healthcare revenue cycle functions
• Experience working with Medicare, Medicaid, and commercial payers
• Experience with hospital billing and/or physician billing processes
• Experience verifying insurance eligibility, benefits, authorizations, and resolving payer-related claim issues
• Knowledge of patient billing, claims submission, reimbursement, denial resolution, and follow-up processes
• Experience using Epic within healthcare revenue cycle systems
• Proficiency with Microsoft Office (Outlook, Word, and Excel)

Preferred Qualifications:

• 3+ years of healthcare revenue cycle, insurance follow-up, denial management, or medical billing experience
• Experience in a hospital, physician practice, or healthcare revenue cycle environment
• Experience using Cerner, Meditech, or other healthcare information systems
• Experience obtaining prior authorizations and navigating payer-specific requirements
• Experience utilizing payer portals such as Availity, NaviNet, Experian Health, or similar platforms
• Knowledge of medical terminology, CPT, HCPCS, and ICD-10 coding principles
• Previous remote healthcare revenue cycle experience

Work From Home Requirements

This is a work-from-home position. Employees are expected to perform their job duties from a secure and private workspace within their home that protects confidential company and client information.

Because employees may access protected health information (PHI), financial information, and other sensitive data, work must be performed in an environment where information cannot be viewed or overheard by others.

To be successful in this role, employees must have:

• A secure and private workspace within their home
• A reliable wired (preferred) high-speed internet connection
• Minimum internet speeds of 30 Mbps download and 10 Mbps upload
• The ability to maintain a professional and distraction-free work environment during scheduled working hours

As part of our hiring process for work-from-home positions:

• Candidates will participate in video interviews
• Video interviews may be recorded and transcribed to support candidate evaluation, interviewer collaboration, and hiring decisions
• Candidates may be asked to complete and provide the results of an internet speed test during the interview process to verify minimum technical requirements

Employment eligibility:

• Candidates must be legally authorized to work in the United States at the time of hire
• The company does not provide employment visa sponsorship for this position
• As a condition of employment, a pre-employment background check will be conducted
• At this time, we are unable to consider candidatesresidingin the state of New York for this position

What We Offer:

• Medical, Dental & Vision
• 401(k) with Company Match
• Paid Wellness Time & Holidays
• Employer-Paid Life Insurance & LTD
• Paid Training
• Internal Growth Opportunities

Meduitis an Equal Opportunity Employer. We do not discriminate based on any protected classand welcome applicants from all backgrounds, consistent with applicable laws. Employment is contingent upon successful completion of a background check, satisfactory references, and any required documentation.

Reasonableaccommodationsmay be made to enable individuals with disabilities to perform the essential functions of this position.

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.