Follow Up Specialist I

Signature Performance, Inc.•,

1d•Onsite

About The Position

In the role of Follow Up Specialist, you will be responsible for analyzing account activity, investigating denied or unpaid claims, and working with insurance payers and internal departments to resolve issues and expedite payment. This position involves following up on assigned insurance claims to ensure timely and accurate payment, reviewing Explanation of Benefits (EOBs) and remittance advice for payment accuracy and claim status, and contacting insurance companies via phone, web portals, or written communication to resolve claim issues. You will also identify and appeal denied or underpaid claims, collaborate with billing, coding, and clinical staff to obtain necessary documentation, and update patient account notes in the billing system. Additionally, you will monitor aging reports, prioritize work based on payer deadlines and account balance, ensure compliance with regulations, and meet individual and team performance goals.

Requirements

High school diploma or equivalent required.
Minimum of 2 years of experience in medical billing, insurance follow-up, or revenue cycle operations.
Knowledge of insurance payer requirements, CPT/ICD coding, and medical terminology.
Strong understanding of healthcare claim submission and adjudication processes.
Experience working with electronic health records (EHRs) and billing systems (e.g., Epic, Meditech, Artiva, etc.).
Excellent verbal and written communication skills.
Ability to work independently, manage time effectively, and handle multiple priorities.
Strong analytical and problem-solving skills.
U.S. Citizenship or naturalized citizenship is required for this position.
All work on all positions at Signature Performance must be completed in the continental United States, Alaska, or Hawaii.

Nice To Haves

Associate's degree in healthcare or business preferred.
Minimum of 1 year of EPIC EMR experience.

Responsibilities

Follow up on assigned insurance claims to ensure timely and accurate payment.
Review Explanation of Benefits (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.