Health Insurance Follow-Up Specialist

Do you have a heart for non-profits? We are seeking a dedicated Health Insurance Follow-Up Specialist to join our team and help ensure our organization maximizes reimbursements to continue serving those in need.

Job Summary:

The Health Insurance Follow-Up Specialist will play a key role in supporting the organization’s revenue cycle by conducting follow-up on outstanding insurance claims. This individual will leverage their knowledge of Medicare, commercial insurance plans, and claims resolution to ensure payments are processed accurately and efficiently.

Key Responsibilities:

• Perform timely follow-up on unpaid or underpaid claims with Medicare and commercial insurance providers.
• Investigate and resolve claim discrepancies, denials, and payment delays.
• Ensure accurate documentation of all follow-up activities in compliance with organizational and regulatory requirements.
• Work collaboratively with internal teams to improve claims processes and resolve recurring issues.
• Support the organization’s mission by ensuring funds are recovered efficiently to enhance services to the community.

Qualifications:

• 1-2 years of experience in health insurance claims follow-up, including Medicare and commercial insurance.
• Strong understanding of medical billing practices and claims processing.
• Excellent analytical, research, and problem-solving skills.
• Proficiency in relevant software and systems used for claims management is preferred.
• Strong written and verbal communication skills.
• Commitment to the mission and values of a non-profit organization.