Insurance Follow Up Specialists

PREMIER AMBULANCE; Costa Mesa (CA); On-site; USD 28,000 - 37,000; Full time

Benefits offered by this job

Paid Weekly

401(k) Plan with Employer Match

Paid Time Off and Sick Pay

Medical, Dental and Vision

Advancement Opportunities

Job summary

Premier Ambulance in Costa Mesa, CA is seeking a Health Insurance Follow-Up Specialist for an in-office role. You will monitor and pursue outstanding insurance claims, resolve payment discrepancies, and collaborate with payers, patients, and internal teams to optimize cash flow and reduce accounts receivable aging.

The position requires 1–2 years in medical billing or revenue cycle operations and familiarity with EHR/billing systems.

Qualifications

• 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.

Responsibilities

• 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.

Skills

Insurance follow-up

Communication skills

Analytical thinking

Organizational skills

Microsoft Excel

Tools

Epic

Athena

NextGen

Job description

Job DetailsJob Location: Costa Mesa - Costa Mesa , CA 92627Position Type: Full TimeSalary Range: $20.00 - $27.50 HourlyJob Shift: AnyThe Health Insurance Follow-Up Specialist is responsible for ensuring timely and accurate reimbursement from insurance carriers. This role involves monitoring and following up on outstanding insurance claims, identifying and resolving payment discrepancies, and maintaining strong communication with payers, patients, and internal departments to optimize cash flow and reduce accounts receivable aging.

Schedule: This is an in-office position with day, swing and night shifts available.

Key Responsibilities

• 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.

Position Type: Onsite

Employment Benefits

• Paid Weekly
• 401(k) Plan with Employer Match
• Paid Time Off and Sick Pay
• Medical, Dental and Vision
• Advancement Opportunities

QualificationsExperience

• 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.

Skills & Abilities

• Strong understanding of insurance claims, EOBs, and payer reimbursement processes.
• Excellent analytical, problem-solving, and organizational skills.
• Ability to work independently and manage multiple tasks in a deadline-driven environment.
• Strong communication skills (both verbal and written).
• Proficiency in Microsoft Office (Excel, Word, Outlook).