Remote Insurance Denials & A/R Specialist

gobravvo

Mobile (AL)

Remote

USD 42,000 - 64,000

Full time

2 days ago
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Benefits offered by this job

Fully remote work arrangement
Comprehensive health, dental, vision,
Paid time off and holidays

Job summary

gobravvo is seeking a Medical Insurance Follow-Up Specialist for a fully remote, full-time role supporting hospital and physician billing accounts. The position focuses on insurance denial resolution, A/R follow-up, and remediation of aged balances, working with a mix of commercial and government payers.

You will conduct detailed account research, review UB-04 and HCFA 1500 claims, and communicate with payers and clients to resolve issues while adhering to regulatory requirements and quality

Qualifications

  • 1–2 years of healthcare revenue cycle experience.
  • Experience with hospital and/or physician billing.
  • Strong knowledge of denials, insurance follow-up, UB-04 and HCFA 1500.
  • Proficiency with major healthcare software systems.
  • High school diploma or equivalent; associate or bachelor’s degree preferred.

Responsibilities

  • Perform second-tier insurance account follow-up on outstanding A/R balances.
  • Resolve denied, underpaid, and unresolved insurance claims.
  • Remediate aged accounts and address payer issues.
  • Conduct detailed research on high-dollar accounts.
  • Review UB-04 and/or HCFA 1500 claims for billing accuracy.
  • Investigate eligibility discrepancies, coding issues, payer denials, and reimbursement variances.
  • Communicate professionally with insurance payers, clients, and internal teams.
  • Identify payer trends, workflow issues, and barriers to resolution.
  • Submit corrected claims, rebills, secondary billing, and appeals as needed.
  • Document account activity and correspondence thoroughly and accurately.
  • Escalate payer errors appropriately for reprocessing.
  • Work with commercial and government payers.
  • Maintain productivity and quality standards.

Skills

Attention to detail
Multitasking
Communication
Remote work ability

Education

High school diploma or equivalent
Associate or bachelor’s degree preferred

Tools

Epic
Cerner
Meditech
McKesson
Allscripts
Soarian

Job description

gobravvo is seeking a Medical Insurance Follow-Up Specialist for a fully remote, full-time role supporting hospital and physician billing accounts. The position focuses on insurance denial resolution, A/R follow-up, and remediation of aged balances, working with a mix of commercial and government payers.

You will conduct detailed account research, review UB-04 and HCFA 1500 claims, and communicate with payers and clients to resolve issues while adhering to regulatory requirements and quality

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