Medical Insurance Follow-Up Specialist

gobravvo; Houston (TX); Hybrid; USD 52,000 - 76,000; Full time

Benefits offered by this job

Health insurance

Paid time off

Flexible work arrangements

Job summary

gobravvo is seeking a Medical Insurance Follow-Up Specialist to manage back-end accounts receivable follow-up, resolve denials, and remediate aged hospital and physician billing accounts. The role requires knowledge of UB-04 and HCFA 1500 forms and fluency with EHR and billing systems such as Epic, Cerner, Meditech, and others.

In this full-time position, you will collaborate with providers, hospital organizations, and internal teams to ensure timely reimbursement and high-quality client

Qualifications

• 1-2 years of healthcare revenue cycle experience required (as stated).
• Strong knowledge of insurance denials, follow-up practices, and claims form requirements (UB-04, HCFA 1500).
• Proficiency with electronic health record and billing systems such as Epic, Cerner, Meditech, McKesson, Allscripts, Soarian, etc.
• Microsoft Office and internet-based applications experience.
• multitasking across multiple systems.

Responsibilities

• Conduct second-tier insurance account follow-up on outstanding accounts receivable balances.
• Resolve denied, underpaid, and unresolved insurance claims efficiently.
• Address aged accounts and payer-specific issues through detailed account research.
• Review UB-04 and/or HCFA 1500 claims forms for billing accuracy and compliance.
• Investigate eligibility discrepancies, coding issues, payer denials, and reimbursement variances.
• Communicate professionally with insurance payers, clients, and internal teams to facilitate resolution.
• Identify payer trends, workflow bottlenecks, and barriers to claims resolution.
• Submit corrected claims, rebills, secondary billings, and appeals as necessary.
• Document all account activity and correspondence thoroughly and accurately.
• Escalate payer errors appropriately for reprocessing and resolution.
• Work collaboratively with commercial and government payers.

Education

High school diploma or equivalent

Associate’s or Bachelor’s degree preferred

Tools

Epic

Cerner

Meditech

McKesson

Allscripts

Soarian

Job description

The role of a Medical Insurance Follow-Up Specialist is integral to the success of healthcare organizations, ensuring that revenue cycle processes run smoothly and accounts receivable balances are effectively managed. Medical Insurance Follow-Up Specialists are responsible for handling back-end accounts receivable follow-up, denial resolution, and aged account remediation for both hospital and physician billing accounts. This full-time position is designed for individuals who thrive in a dynamic, fast-paced environment and are passionate about problem-solving and process improvement within the healthcare revenue cycle.

As a Medical Insurance Follow-Up Specialist, you will collaborate with healthcare providers, hospital organizations, and internal teams to deliver high-quality support services. Your primary focus will be to resolve outstanding insurance claims, address denials, and ensure timely reimbursement for services rendered. This position requires a deep understanding of healthcare billing processes, insurance policies, and industry-standard forms such as UB-04 and HCFA 1500.

Medical Insurance Follow-Up Specialists are expected to maintain a high level of professionalism and accuracy in all interactions with payers and clients. You will be tasked with researching account discrepancies, submitting corrected claims, and communicating effectively to resolve complex issues. Utilizing electronic health record and billing systems, such as Epic, Cerner, Meditech, and others, is essential for managing and documenting account activity. Mastery in multitasking across various technology platforms, including Microsoft Office and internet-based systems, is also crucial for success in this role.

Working as a Medical Insurance Follow-Up Specialist offers the unique advantage of collaborating with both commercial and government payers, requiring adaptability and a keen eye for detail to navigate varying payer requirements and processes. By joining this team, you will play a key role in driving the financial health of healthcare organizations and enhancing patient satisfaction through accurate and efficient claims resolution.

This full-time opportunity provides Medical Insurance Follow-Up Specialists with the chance to contribute to a mission-driven team, access professional growth pathways, and enjoy a comprehensive benefits package. If you are dedicated, detail-oriented, and eager to make an impact in healthcare revenue cycle management, this is the ideal role for you.

Medical Insurance Follow-Up Specialist - Summary

• Responsible for back-end accounts receivable follow-up and denial resolution.
• Work focuses on hospital and physician billing account remediation.
• Key liaison between healthcare providers, insurance payers, and internal staff.
• Ensures accuracy and timeliness in claims processing and account management.
• Full-time role with opportunities for professional growth and advancement.

Duties & Responsibilities

• Conduct second-tier insurance account follow-up on outstanding accounts receivable balances.
• Resolve denied, underpaid, and unresolved insurance claims efficiently.
• Address aged accounts and payer-specific issues through detailed account research.
• Review UB-04 and/or HCFA 1500 claims forms for billing accuracy and compliance.
• Investigate eligibility discrepancies, coding issues, payer denials, and reimbursement variances.
• Communicate professionally with insurance payers, clients, and internal teams to facilitate resolution.
• Identify payer trends, workflow bottlenecks, and barriers to claims resolution.
• Submit corrected claims, rebills, secondary billings, and appeals as necessary.
• Document all account activity and correspondence thoroughly and accurately.
• Escalate payer errors appropriately for reprocessing and resolution.
• Work collaboratively with commercial and government payers.
• Uphold productivity and quality standards as defined by the organization.

Salary & Benefits

• Competitive salary structure for Medical Insurance Follow-Up Specialists.
• Comprehensive health, dental, vision, and life insurance coverage.
• Paid time off, paid sick leave, and paid holidays.
• Opportunities for career growth and advancement within the organization.
• Flexible work arrangements for enhanced work-life balance.

Qualifications & Requirements

• 1-2 years of healthcare revenue cycle experience required.
• Previous experience with hospital billing and/or physician billing is mandatory.
• Strong knowledge of insurance denials, follow-up practices, and claims form requirements (UB-04, HCFA 1500).
• Proficiency with electronic health record and billing systems such as Epic, Cerner, Meditech, McKesson, Allscripts, Soarian, etc.
• Skilled in Microsoft Office and other internet-based applications.
• Demonstrated ability to multitask effectively across multiple systems.
• High school diploma or equivalent required; Associate’s or Bachelor’s degree preferred.

Ideal Candidate Snapshot

• Analytical thinker with exceptional problem-solving abilities.
• Excellent written and verbal communication skills.
• Detail-oriented and highly organized in managing multiple accounts.
• Comfortable working independently and as part of a collaborative team.
• Proactive in identifying trends and suggesting process improvements.
• Adaptable to changes in payer requirements and healthcare regulations.
• Committed to maintaining productivity and quality standards.

Other Relevant Information

• Physical requirements include the ability to sit for extended periods, frequent use of hands for typing, and occasional lifting up to 15 pounds.
• Position requires frequent communication via phone and computer systems.
• Join a team that values professional development, career advancement, and a collaborative work environment.