Insurance Follow Up Specialist - Seattle, WA

Mindful Support Services•Seattle, WA

8d•$24 - $28•Onsite

About The Position

We are seeking an experienced claim specialist to independently resolve complex outstanding insurance balances, denials, and claim-processing issues across commercial, Medicare, and Medicaid payers. This is not an entry-level billing or payment-posting role. The ideal candidate has at least two years of hands-on insurance A/R follow-up and claim-resolution experience, including direct payer outreach, portal-based research, denial management, corrected claims, reconsiderations, appeals, and escalation of recurring payer or workflow issues. They are comfortable taking ownership of a claim from initial denial or nonpayment through final resolution. We are especially interested in candidates with substantial experience working Washington Medicaid claims, eligibility, authorization-related denials, managed-care plans, and state-specific billing or reimbursement requirements.

Requirements

At least 2 years of direct medical insurance A/R follow-up and claim-resolution experience in a healthcare billing environment.
Hands-on experience working commercial insurance, Medicare, Medicaid, and managed Medicaid claims.
Strong written and verbal communication skills, with the ability to communicate professionally and effectively with payer representatives, providers, managers, and internal teams.
Experience working in an EHR or practice-management system, payer portals, clearinghouse tools, Microsoft Excel, and Outlook.
Strong attention to detail, organization, follow-through, and documentation habits.

Nice To Haves

Experience resolving Washington Medicaid denials involving eligibility, managed-care enrollment, authorizations, provider enrollment, billing requirements, reimbursement, or claim-processing rules.
Behavioral health billing and insurance A/R experience.
Experience with AdvancedMD or a similar behavioral health EHR/practice-management platform.
Experience with payer portals for regional and national commercial payers, including Blue Cross Blue Shield plans, Aetna, Cigna, Optum/UnitedHealthcare, Medicare contractors, and Medicaid managed-care organizations.
Experience working with Apple computers and macOS.

Responsibilities

Independently work outstanding insurance A/R, with a focus on denied, rejected, and aged claims, including balances aged 120+ days.
Analyze denial reason codes, payer correspondence, eligibility and benefits information, authorization requirements, coding or claim-edit issues, and filing-limit concerns to determine the appropriate next action.
Submit and track corrected claims, reprocessed claims, reconsiderations, appeals, medical-record submissions, and other payer-required documentation.
Navigate commercial payer portals and communicate directly with payer representatives to obtain claim status, denial details, payment information, and resolution commitments.
Communicate claim status, documentation needs, and action items to providers and internal partners in a clear, professional, solutions-focused manner.
Post insurance payments and adjustments accurately when assigned, including ensuring payment activity aligns with remittance advice and claim-resolution outcomes.
Maintain thorough, actionable documentation in the EHR (AdvancedMD) and related tracking tools so other team members can easily understand the claim history and next steps.