Follow Up Specialist

August 26, 2026

Job Description:

Review denied claims for correction and resubmission
Direct denied claims to other departments when warranted
Use payer websites and online portals to research denied claims
Identify denial trends and report them to the lead to help prevent future denials
Follow up on unpaid claims with insurance carriers after the specified claim age
Contact insurance companies by telephone, portals, and email to resolve claims denied in error or requiring additional information
Research claims using multiple online websites and portals
Identify denial trends and insurance-carrier issues and report them to the lead
Process appeals on denied claims
Forward denials to other departments so claims can be handled properly

Requirements:

1–2 years' experience in an AR Follow-Up role
Experience in professional CMS 1500 billing
Experience with multiple clearinghouses, billing systems, and EMRs
Knowledge of multiple states' billing requirements
Knowledge of commercial and government payers
Basic medical billing knowledge
Basic health insurance carrier billing and reimbursement policies
Problem solving and dispute resolution skills
Ability to multitask and adapt to changing regulations
Strong verbal and written communication skills
Excellent organizational and time-management abilities
Proficiency in Microsoft Office applications, including Teams, Outlook, and Excel
Ability to prioritize multiple tasks effectively
High attention to detail and problem-solving skills
Reliable internet access
Ability to sit for long periods while working at a desk or computer
Regular use of a keyboard, mouse, and other computer peripherals

Benefits:

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