Medical Insurance Follow-Up Specialist
Job Title: Medical Insurance Follow-Up Specialist (Remote) Industry: Healthcare Revenue Cycle / Medical Billing Location: Fully Remote (Texas candidates) Compensation: $22-$23/hour Benefits: This position is eligible for medical, dental, vision, and 401(k). Work Schedule: Monday-Friday, 8:00 AM - 5:00 PM CST About Our Client: Addison Group is partnering with a healthcare organization seeking a Medical Insurance Follow-Up Specialist to join their revenue cycle team. This is a remote opportunity supporting insurance collections, denial resolution, and accounts receivable activities within a fast-paced healthcare environment. Job Description: The Medical Insurance Follow-Up Specialist will be responsible for researching outstanding insurance claims, resolving payment issues, and working directly with payers to ensure timely reimbursement. This individual will play a key role in identifying denial trends, recommending process improvements, and supporting overall accounts receivable performance. Qualifications:
- Previous experience in medical billing, insurance follow-up, or healthcare accounts receivable
- Familiarity with Texas Medicaid strongly preferred
- Understanding of insurance claims processing, EOBs, denials, and collections
- Experience working with payer portals and insurance carriers
- Proficient Microsoft Excel skills
- Strong communication and problem-solving abilities
- Ability to work independently in a remote environment
- Experience with UnitedHealthcare claims and collections is a plus
- Prior experience within a healthcare or government-related healthcare setting is preferred but not required
Key Responsibilities:
- Review and follow up on outstanding insurance claims to secure payment resolution
- Investigate denied, underpaid, or delayed claims and initiate appeals when appropriate
- Utilize payer websites and direct outreach to insurance representatives to obtain claim status updates
- Analyze Explanation of Benefits (EOBs) and payment activity to identify reimbursement issues
- Track and report denial patterns, reimbursement trends, and opportunities for process improvement
- Present findings and recommendations to team members and leadership during group meetings
- Maintain accurate account documentation and follow-up records
- Support revenue cycle operations through effective accounts receivable management
Perks
- Fully remote work environment
- Opportunity to gain experience with a large healthcare organization
- Collaborative and supportive leadership team
- Potential for long-term employment based on business needs and performance
- Meaningful work supporting healthcare operations and patient services
Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.