Insurance Follow Up Specialist

The A List • Austin, TX

10d

About The Position

We are seeking a proactive and detail-oriented Insurance Follow-Up Specialist to manage outstanding insurance claims and ensure timely reimbursement. The ideal candidate will be experienced in navigating payer guidelines, resolving claim delays, and communicating effectively with insurance representatives. This role is critical for maintaining strong cash flow and reducing accounts receivable aging within the organization.

Responsibilities

• Review and manage aging insurance accounts to ensure timely follow-up and resolution of unpaid or underpaid claims.
• Contact insurance companies via phone, portal, or written communication to obtain claim status, appeal decisions, or correct issues preventing payment.
• Identify and correct errors related to coding, billing, coverage, or documentation that contributed to claim denials or delays.
• Prepare and submit appeals, reconsiderations, and corrected claims as needed.
• Document all follow-up activities clearly and accurately in the billing system.
• Collaborate with medical billers, coders, and providers to gather missing information or clarify discrepancies.
• Analyze denial trends and provide feedback to leadership to improve billing processes.
• Maintain knowledge of payer policies, federal regulations, and industry changes affecting reimbursement.
• Protect patient privacy and adhere to HIPAA compliance requirements at all times.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed