Insurance Follow-Up Agent

FMS • Meridian, ID

3d • Remote

About The Position

FMS, Inc. is seeking a proactive and detail-oriented Medical Insurance Follow-Up Agent for its Revenue Cycle team. The role is responsible for timely and accurate follow-up on medical insurance claims, identifying and resolving obstacles to reimbursement, and maintaining compliance with payer and regulatory guidelines.

The position involves contacting insurers and third-party payers, reviewing claim and payment information, documenting activity in the billing system, and collaborating with internal teams. It is work-from-home and requires a reliable internet connection, a secure and quiet workspace, specified computer equipment, and the ability to safeguard patient health information in a remote environment.

Requirements

• High school diploma or equivalent.
• At least 1 year of experience in medical billing, insurance follow-up, or healthcare collections.
• Strong knowledge of EOBs, claim denials, appeals, and reimbursement processes.
• Excellent verbal and written communication skills.
• Strong organizational and time-management skills.
• Proficiency in medical billing software and Microsoft Office (Excel, Outlook, and Word).
• Ability to work independently and as part of a team.
• High attention to detail and accuracy.
• Proficient typing skills and ability to operate and navigate multiple computer systems.
• Reliable high-speed internet and a secure, quiet workspace.
• Ability to use video conferencing tools throughout each scheduled shift.
• Ability to maintain confidentiality and protect patient health information in a remote environment.

Nice To Haves

• Associate degree or coursework in healthcare administration, billing, or a related field.
• Familiarity with commercial, Medicare, and Medicaid insurance plans.

Responsibilities

• Conduct timely follow-up on outstanding insurance claims by phone, online portals, or written correspondence.
• Investigate and resolve denied, delayed, or underpaid claims by communicating with insurance companies and third-party payers.
• Review Explanation of Benefits (EOBs) and remittance advice to ensure proper claim adjudication.
• Identify trends in denials or payment delays and escalate issues as necessary.
• Accurately document claim activity and communications in the billing system.
• Verify insurance coverage and eligibility when required for follow-up activities.
• Collaborate with billing, coding, and patient services teams to resolve discrepancies.
• Maintain compliance with HIPAA and other applicable laws and guidelines related to medical billing and patient privacy.
• Meet department productivity and quality standards.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED