Remote Revenue Cycle Follow-Up Specialist

Signature Performance; Boston (MA); Remote; USD 32,000 - 37,000; Full time

Benefits offered by this job

Health Insurance

Fully Paid Life Insurance

Short- & Long-Term Disability

Paid Vacation

Paid Sick Leave

Paid Holidays

Tuition Assistance

401(k) with Employer Match

Job summary

Signature Performance is seeking a Revenue Cycle Specialist to remotely manage follow-up on insurance claims across the United States. You will review EOBs, contact payers, and resolve denials while collaborating with billing and clinical staff to gather documentation.

The role demands 4+ years in medical billing or revenue cycle activities, strong CPT/ICD knowledge, and excellent communication. A high school diploma is required; healthcare/business associate degree preferred.

Qualifications

• Minimum of 4 years of experience in medical billing, insurance follow-up, or revenue cycle operations.
• Experience with Indian Healthcare, Commercial Payers, and worker compensation accounts.
• Knowledge of CPT/ICD coding and medical terminology.
• Strong understanding of healthcare claim submission and adjudication processes.
• Experience with EHRs and billing systems (Epic, Meditech, Artiva).
• Excellent verbal and written communication skills.
• Ability to work independently, manage time effectively, and handle multiple priorities.
• Strong analytical and problem-solving skills.

Responsibilities

• Follow up on assigned insurance claims to ensure timely and accurate payment.
• Review EOBs and remittance advice for payment accuracy and claim status.
• Contact insurance companies via phone, web portals, or written communication to resolve claim issues.
• Identify and appeal denied or underpaid claims based on payer guidelines and documentation.
• Collaborate with billing, coding, and clinical staff to obtain necessary documentation for claims resolution.
• Update patient account notes in the billing system with clear and concise follow-up actions and outcomes.
• Monitor aging reports and prioritize work based on payer deadlines and account balance.
• Ensure compliance with federal, state, and payer-specific regulations and policies.
• Meet individual and team performance goals, including productivity and quality standards.
• Participate in departmental meetings, training sessions, and quality improvement initiatives as required.

Skills

Verbal communication

Written communication

Analytical skills

Problem solving

Time management

Independence

Education

High school diploma or equivalent

Associate's degree in healthcare or business preferred

Tools

Epic

Meditech

Artiva

Job description

Signature Performance is seeking a Revenue Cycle Specialist to remotely manage follow-up on insurance claims across the United States. You will review EOBs, contact payers, and resolve denials while collaborating with billing and clinical staff to gather documentation.

The role demands 4+ years in medical billing or revenue cycle activities, strong CPT/ICD knowledge, and excellent communication. A high school diploma is required; healthcare/business associate degree preferred.