Insurance Follow-up Specialist (ONSITE: Lakeland, FL)

Are you experienced in following up on insurance claims and ensuring payments are processed smoothly? We’re looking for an Insurance Follow-Up Specialist to help us streamline our billing process! In this role, you’ll contact medical insurance providers, resolve any issues, and ensure all necessary documentation is in place for timely payment. Whether you’ve got a background in medical billing, coding, or insurance follow-up, if you have at least 1 year of experience in any of these areas, we want to hear from you! Ready to put your expertise to work in a fun and supportive remote environment? Apply now and become a key part of our insurance follow-up team!

Position Requirements:

The Insurance Follow-Up Specialist is responsible for pursuing timely resolution of billed claims by contacting insurance carriers, reviewing patient account notes, determining eligibility when necessary, and supporting accurate and efficient billing processes. This role requires experience consistently following up with medical insurance providers to resolve claim issues and secure payments. Experience with medical billing and coding is acceptable. A minimum of one (1) year of direct experience in insurance follow-up or medical billing/coding is required—no exceptions. Please note: insurance verification experience alone does not meet the qualifications for this position.

Residents in Polk County are required to be Onsite. Residents outside of Polk County can be remote and others in the office. Any remote position requires you have a dedicated, secure, home internet provider and your service can pass our required speed test.

Position Responsibilities:

• Follow-up with insurance companies on billed claims regarding claim status and resolution of payments in a timely manner.
• Review patient account notes thoroughly to assess potential insurance benefit eligibility.
• Access client systems to verify insurance coverage and claim filing status prior to billing.
• Request and collect necessary documentation from clients to support accurate and complete insurance billing.
• Track and verify payments with accuracy, ensuring all payment activity is recorded appropriately.
• Contact patients when additional information is required to complete billing.
• Maintain thorough, efficient, and accurate documentation in all required systems for every task and interaction.
• Identify root causes of claim issues or delays, determine appropriate solutions, and escalate to management as needed.
• Ensure full compliance with all applicable Federal, State, and Local regulations as they relate to insurance billing and follow-up.
• Adhere to company policies and procedures in all aspects of the role.
• Provide feedback to leadership on recurring issues or areas of opportunity within workflows or systems.
• Make recommendations to implement improved processes.
• Perform other duties as assigned by management.
• *** Pay Range: $16 -$19 based on experience***

Qualifications:

• High School Diploma or General Educational Development (GED) certificate or equivalent relevant work experience desired.
• Previous insurance/medical billing/customer service experience preferred.
  • EPIC knowledge is a plus
• Proficient personal computer skills, including Microsoft Office.
• Excellent interpersonal, written, and oral communication skills.
• Ability to work in a team fostered environment.
• Ability to prioritize and organize work in a multitasked environment.
• Ability to adapt to a flexible schedule.
• Ability to maintain the highest level of confidentiality.

Work Environment:

• Office environment / ONLY applicants residing outside of Polk County may be remote.
• Ability to lift and/or move 20 pounds with or without accommodation.

Benefits:

• Comprehensive Health Coverage: Group medical, dental, and vision plans available from the first day of the month following 90 days of full-time employment.
• Life and Disability Insurance: Basic life/AD&D, short-term, and long-term disability coverage provided, with options for voluntary life/AD&D.
• 401(k) Retirement Savings Plan: Eligible to participate in the company’s 401(k) plan at the beginning of the first calendar quarter following 6 months of continuous service.
• Paid Time Off (PTO): Accrue Paid Time Off starting on your first day of employment.
• Flexibility in Benefits: The company reserves the right to amend, modify, or terminate any benefits programs as needed.

Note: This job description outlines the primary duties and qualifications for the role. It is not intended to be an exhaustive list of responsibilities or working conditions. 

GetixHealth is an Equal Opportunity and E-Verify Employer!