Insurance Follow-Up Agent

FMS • Tulsa, OK

3d • Remote

About The Position

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

The position includes reviewing claim and payment information, communicating with insurers and third-party payers, documenting claim activity in the billing system, and collaborating with internal teams to resolve discrepancies. It is a work-from-home role requiring reliable high-speed internet, a secure and quiet workspace, and employee-provided equipment that meets the listed technical requirements. The employee must be comfortable using video conferencing tools throughout each scheduled shift and protect 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, including Excel, Outlook, and Word.
• Ability to work independently and as part of a team.
• High attention to detail and accuracy.
• Proficient typing and ability to operate and navigate multiple computer systems.
• Reliable high-speed internet and a secure, quiet workspace.
• Comfort using 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 all 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
• Education Level: High school or GED