Insurance Team Lead

GetixHealth

. Guide and motivate insurance follow-up specialists .

Posted 9/18/2026full-timeLakeland • Florida • United StatesSenior💰 $21 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive experience in insurance follow-up and denials management, with a strong understanding of claim forms, billing systems, and compliance regulations. Capable of effectively communicating with patients and insurance carriers while maintaining high attention to detail in a fast-paced environment.

Highest-signal resume keywords

7+ Years Experience In Insurance Follow-UpKnowledge Of UB04/CMS 1450 And CMS 1500Knowledge Of EDI, HCPCS, ICD-9/ICD-10, CPT, And DRGsEffective Organizational SkillsMedical Terminology

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Insurance Follow-UpClaims AnalysisDenials ManagementBilling Instructions KnowledgeContractual Terms ApplicationClaim Status CommunicationAppeals SubmissionCompliance With Information Security PoliciesKnowledge Of Billing SystemsMedi-Cal Knowledge

Soft Skills

Excellent Customer ServiceEffective CommunicationAttention To DetailPatienceFlexibility

Tools & Technologies

Online Research ToolsOffice Equipment OperationPersonal Computer Proficiency

Industry Keywords

Commercial DenialsGovernmental DenialsThird-Party Appeals ProcessesFacility Setting ExperienceSelf-Pay Accounts Management

About the role

Key responsibilities & impact

Guide and motivate insurance follow-up specialists
Review self-pay accounts to verify insurance coverage
Analyze and resolve unpaid claims
Contact insurance carriers for claim status and payments
Research claims using online tools
Gather and submit supporting documentation to insurance carriers
Submit appeals when necessary
Review and apply contractual terms
Communicate with patients/guarantors to expedite claims
Assist with special projects and additional duties as needed
Ensure compliance with information security policies
Monitor inventory and provide reporting on open claims
Report security risks according to procedures
Work independently in a fast-paced environment supporting multiple facilities

Requirements

What you’ll need

7+ years’ experience in a facility setting performing insurance follow-up/denials management
Knowledge of UB04/CMS 1450 and CMS 1500 claim forms
Knowledge of EDI, HCPCS, ICD-9/ICD-10, CPT, and DRGs
Ability to interpret an Explanation of Benefits
Complete working knowledge of billing instructions and procedures for each payer source according to regulations and guidelines
Knowledge of Commercial, Governmental, and third-party denials and appeals processes
Knowledge of billing systems
Effective organizational skills and high attention to detail
Medical terminology required
Ability to adapt to change, maintain professionalism in challenging situations, and work in a business professional environment
Medi-Cal knowledge is a major benefit
High school diploma or college degree from an accredited college or university
Ability to work independently
Excellent customer service and communication skills
Patience, flexibility, and ambition to achieve goals
Ability to operate office equipment such as a personal computer, keyboard, mouse, and telephone
Occasional ability to lift up to 25 lbs.
Ability to sit for extended periods with frequent bending and stooping

Benefits

Comp & perks

Group medical, dental, and vision plans available from the first day of the month following 90 days of full-time employment
Basic life/AD&D insurance
Short-term and long-term disability coverage
Voluntary life/AD&D insurance options
401(k) Retirement Savings Plan after 6 months of continuous service
Paid Time Off accruing from the first day of employment
Bonus eligibility