Medical Insurance Follow-Up Specialist

gobravvo; Indianapolis (IN); Remote; USD 42,000 - 64,000; Full time

Benefits offered by this job

Remote work

Health, dental, vision, and life

Paid time off and holidays

Career growth opportunities

Flexible schedule

Job summary

Gobravvo is seeking a Medical Insurance Follow-Up Specialist to ensure accurate and efficient insurance claim processing in a 100% remote environment. The role emphasizes follow-up on aging accounts, denial resolution, and collaboration with payers and internal teams to maximize revenue.

Ideal candidates bring 1–2 years in healthcare revenue cycle, experience with UB-04/HCFA 1500, and familiarity with major EHR systems. Strong communication and multitasking skills are essential for success.

Qualifications

• 1-2 years of healthcare revenue cycle experience.
• Strong understanding of insurance denials and claims follow-up.
• Familiarity with UB-04 and HCFA 1500 forms.

Responsibilities

• Perform second-tier follow-up on outstanding accounts receivable.
• Resolve denied, underpaid, and unresolved claims.
• Address aged accounts and payer issues to facilitate timely payment.
• Research high-dollar accounts by reviewing histories and payer correspondence.
• Review UB-04/HCFA 1500 for accuracy and compliance.
• Identify eligibility discrepancies and reimbursement variances.
• Communicate with payers, clients, and internal teams to resolve issues.

Skills

Medical billing

Denials management

Multitasking

Education

High school diploma

Associate/Bachelor preferred

Tools

Epic

Cerner

Meditech

McKesson

Allscripts

Soarian

Microsoft Office

Job description

The role of a Medical Insurance Follow-Up Specialist is a critical position within the healthcare revenue cycle, focused on ensuring that insurance claims are processed accurately and efficiently. This full-time opportunity offers a remote work environment, allowing professionals to contribute to the financial health of healthcare providers from virtually anywhere. As a Medical Insurance Follow-Up Specialist, you will apply your expertise in medical billing, insurance claims management, and denial resolution to help hospitals and physician practices maximize their revenue and minimize outstanding accounts receivable.

In this position, you will be responsible for performing comprehensive follow-up on insurance accounts, addressing denied and underpaid claims, and working to resolve aged accounts. Your efforts will directly impact the financial operations of healthcare organizations, making your role both challenging and rewarding. Collaborating with commercial and government payers, as well as internal teams, you will ensure that claims are processed in compliance with industry standards and payer guidelines.

As a Medical Insurance Follow-Up Specialist, you will have the opportunity to develop your skills in a dynamic and supportive environment. The role requires a keen attention to detail, strong problem-solving abilities, and the capacity to handle multiple tasks simultaneously. By leveraging your knowledge of claims forms such as UB-04 and HCFA 1500, as well as your familiarity with leading healthcare information systems, you will play a vital part in optimizing revenue cycle processes.

Working in this role provides exposure to a variety of healthcare billing challenges and offers continuous learning opportunities. Your ability to communicate effectively with insurance payers, clients, and colleagues will be essential in resolving complex issues and ensuring timely payments. The position emphasizes productivity and quality, encouraging you to consistently meet established standards while maintaining accuracy in all account documentation.

If you are passionate about making a difference in healthcare administration and have experience in revenue cycle management, this Medical Insurance Follow-Up Specialist position is an excellent fit. Join a team that values your expertise and offers opportunities for professional growth. Enjoy the benefits of a remote work setting, access to comprehensive health plans, and the satisfaction of contributing to the overall success of healthcare organizations.

Medical Insurance Follow-Up Specialist - Summary

• Remote, full-time position focused on medical insurance claims follow-up and denial resolution.
• Supports healthcare providers and hospital organizations with back-end accounts receivable management.
• Key player in optimizing revenue cycle performance for hospitals and physician billing accounts.

Duties & Responsibilities

• Conduct second-tier follow-up on outstanding insurance accounts receivable balances.
• Resolve denied, underpaid, and unresolved insurance claims efficiently.
• Address aged accounts and payer issues to facilitate timely payment.
• Research and resolve high-dollar accounts by investigating account histories and payer correspondence.
• Review UB-04 and/or HCFA 1500 claims for accuracy and compliance.
• Identify and address eligibility discrepancies, coding issues, denial causes, and reimbursement variances.
• Communicate professionally with insurance payers, clients, and internal teams to resolve issues.
• Identify trends, workflow bottlenecks, and barriers to timely resolution.
• Submit corrected claims, rebills, secondary claims, and appeals as necessary.
• Document all account activities and correspondence thoroughly and accurately in the system.
• Escalate payer errors and unresolved issues to appropriate channels for reprocessing.
• Work with both commercial and government insurance payers.
• Meet or exceed productivity and quality standards as set by the organization.

Salary & Benefits

• Competitive salary for the Medical Insurance Follow-Up Specialist position.
• Comprehensive health, dental, vision, and life insurance packages available.
• Paid time off, sick leave, and paid holidays provided.
• Opportunities for career growth and professional development within the organization.
• Flexible work schedule and 100% remote work environment.

Qualifications & Requirements

• 1-2 years of healthcare revenue cycle experience required, preferably in hospital or physician billing.
• Strong understanding of insurance denials, claims follow-up, and medical billing forms (UB-04, HCFA 1500).
• Experience using healthcare information systems such as Epic, Cerner, Meditech, McKesson, Allscripts, or Soarian.
• Proficiency with Microsoft Office and internet-based applications.
• Ability to multitask and work across multiple systems simultaneously.
• High school diploma or equivalent is required; an associate's or bachelor's degree is preferred.
• Ability to sit for extended periods and perform frequent typing and computer work.
• Capable of communicating via phone and electronic systems, with occasional lifting up to 15 pounds.

Ideal Candidate Snapshot

• Detail-oriented with excellent organizational skills.
• Strong analytical and problem-solving abilities, especially in identifying and resolving billing and denial issues.
• Excellent communication skills for professional interactions with payers, clients, and team members.
• Comfortable working independently in a remote environment while maintaining productivity and quality.
• Eager to contribute to a growing team and advance within the healthcare revenue cycle field.

Other Relevant Information

• This Medical Insurance Follow-Up Specialist role offers the chance to work in a dynamic, mission-driven organization dedicated to supporting healthcare providers.
• Remote work allows for a flexible and balanced lifestyle.
• Join a team that values diversity, inclusion, and equal opportunity in the workplace.