Remote Insurance Eligibility & Claims Follow-Up Specialist

GetixHealth, LLC; Tacoma (WA); Remote; USD 22,000 - 26,000; Full time

Benefits offered by this job

Comprehensive health benefits

Life & disability coverage

401(k) retirement plan

Paid time off

Flexible benefit options

Job summary

GetixHealth is seeking an Insurance Eligibility & Follow-Up Specialist to verify coverage before services and actively pursue outstanding claims. The role supports a fast-paced healthcare environment with emphasis on accuracy and timely reimbursement.

You will collaborate with insurers, providers, and internal teams to reduce denials, improve cash flow, and enhance the patient experience. Remote position with flexible hours and probationary onboarding.

Qualifications

• High school diploma or GED required.
• 2+ years of experience in insurance follow-up, eligibility verification, medical billing, or healthcare revenue cycle operations preferred.
• Experience with AR follow-up, claims resolution, and payer portals required.

Responsibilities

• Follow-up with insurance companies on billed claims regarding claim status and resolution of payments in a timely manner.
• Verify patient insurance eligibility and benefits prior to scheduled services.
• Confirm active coverage, copays, deductibles, coinsurance, and patient responsibility estimates.
• Identify prior authorization requirements and elevate when needed.
• Track outstanding insurance claims (Accounts Receivable / AR).
• Contact insurance companies by phone, payer portals, or email to check claim status.
• Investigate denials, underpayments, rejections, and missing claim information.
• Correct claim issues and resubmit claims when necessary.
• Document all account activity and insurance updates accurately in the billing system.
• Escalate complex or long-pending claims to supervisors or billing leadership.
• Collaborate with scheduling, billing, and provider teams to prevent delays and claim denials.
• Maintain compliance with HIPAA, payer guidelines, and internal policies.
• Meet productivity, quality, and turnaround expectations in a high-volume environment.

Skills

Insurance follow-up

Eligibility verification

Claims management

Revenue cycle

Education

High school diploma or GED

Tools

Microsoft Office

EHR systems

Job description

GetixHealth is seeking an Insurance Eligibility & Follow-Up Specialist to verify coverage before services and actively pursue outstanding claims. The role supports a fast-paced healthcare environment with emphasis on accuracy and timely reimbursement.

You will collaborate with insurers, providers, and internal teams to reduce denials, improve cash flow, and enhance the patient experience. Remote position with flexible hours and probationary onboarding.