Medical Insurance Follow-Up Specialist

The CORE Institute; Phoenix (AZ); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Health benefits

Benefit stipend

HSA with match

401k match

EAP 24/7

Appreciation days

Wellness events

Job summary

The CORE Institute in Phoenix, AZ is seeking an Insurance Follow-Up Representative to support billing operations and drive timely reimbursements. You will review denials, verify eligibility, and coordinate with providers, staff, and patients to resolve claims efficiently.

The role requires two to three years of medical billing experience, knowledge of ICD-10 and CPT coding, and strong communication skills. Join a healthcare team committed to excellent patient care and collaborative problem

Qualifications

• High school diploma/GED or equivalent working knowledge preferred.
• Minimum two to three years of experience in medical billing.
• Must communicate effectively with physicians, patients, and the public and be capable of establishing good working relationships with both internal and external customers.
• Knowledge of the physician billing processes, ICD-10, and CPT coding.
• Knowledge of computer systems. Experience with GE patient management system preferred.

Responsibilities

• Reviews insurance denials and rejections to determine the next appropriate action steps and obtain the necessary information to resolve any outstanding denials/rejections.
• Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow processing of claims to insurance plans.
• Verifies receipt of claim with insurance plans, determining the next appropriate action steps and timeliness of claims maximum reimbursement.
• Researches all information needed to complete the billing process including obtaining information from providers, ancillary services staff, and patients.
• Assumes full responsibility for reducing the accounts receivable of insurance balances by working through outstanding accounts.

Skills

Communication

Medical billing

ICD-10/CPT coding

Interpersonal skills

Computer literacy

Education

High school diploma/GED

Tools

GE patient management system

Job description

The CORE Institute in Phoenix, AZ is seeking an Insurance Follow-Up Representative to support billing operations and drive timely reimbursements. You will review denials, verify eligibility, and coordinate with providers, staff, and patients to resolve claims efficiently.

The role requires two to three years of medical billing experience, knowledge of ICD-10 and CPT coding, and strong communication skills. Join a healthcare team committed to excellent patient care and collaborative problem