Remote Insurance Eligibility & Claims Specialist

GetixHealth, LLC; Alaska; Remote; USD 45,847,000 - 54,443,000; Full time

Job summary

GetixHealth, LLC is seeking an Insurance Eligibility & Follow-Up Specialist to verify coverage before services and pursue timely reimbursement. This remote role supports eligibility verification and accounts receivable follow-up within a fast-paced healthcare environment.

You will collaborate with insurers, providers, and internal teams to minimize denials, resolve payer issues, and maintain HIPAA compliance while meeting productivity goals.

Qualifications

• High school diploma or GED required.
• Bachelor's degree preferred.
• 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.
• Experience with Medicare, Medicaid, and commercial insurance plans preferred.
• Strong understanding of insurance benefits, authorizations, and denial resolution.
• Prior remote work experience preferred.
• Strong verbal and written communication skills.
• Proficiency in Microsoft Office and healthcare systems.
• Experience with EHR systems and billing platforms preferred.
• Must be able to type a minimum of 35 words per minute (WPM) with no more than 3 errors. A typing assessment will be administered during the interview process.

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 escalate 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.
• Other duties as assigned.
• Pay Range: $16 -$19 based on experience.

Skills

Insurance verification

Denial management

Payer follow-up

HIPAA compliance

Communication skills

Remote work

Education

High school diploma or GED

Bachelor's degree preferred

Tools

Microsoft Office

EHR systems

Billing platforms

Payer portals

Job description

GetixHealth, LLC is seeking an Insurance Eligibility & Follow-Up Specialist to verify coverage before services and pursue timely reimbursement. This remote role supports eligibility verification and accounts receivable follow-up within a fast-paced healthcare environment.

You will collaborate with insurers, providers, and internal teams to minimize denials, resolve payer issues, and maintain HIPAA compliance while meeting productivity goals.