Insurance Follow-Up Agent

FMS Inc.Tulsa, OK
Remote

About The Position

FMS, Inc. is seeking a proactive and detail-oriented Medical Insurance Follow-Up Agent to join our Revenue Cycle team. In this role, you will be responsible for ensuring timely and accurate follow-up on medical insurance claims. Your primary goal is to identify and resolve issues that prevent reimbursement, while maintaining compliance with all payer and regulatory guidelines.

Requirements

  • High school diploma or equivalent required.
  • 1+ year of experience in medical billing, insurance follow-up, or healthcare collections required.
  • 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, Word).
  • Ability to work independently and as part of a team.
  • High attention to detail and accuracy.
  • Proficient typist with ability to operate and navigate multiple computer systems with ease.
  • Reliable high-speed internet and secure, quiet workspace
  • Comfortable using video conferencing tools throughout each scheduled shift
  • Ability to maintain confidentiality and protect patient health information (PHI) in a remote environment

Nice To Haves

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

Responsibilities

  • Conduct timely follow-up on outstanding insurance claims via 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.
  • Document all claim activity and communications accurately 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.
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