Insurance Follow-Up Specialist

Revco Solutions

. Conduct detailed analysis and follow-up on outstanding commercial and government insurance claims .

Posted 9/15/2026full-timeRemote • United StatesJuniorMid-Level💰 $19 - $22 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in analyzing and resolving commercial and government insurance claims, utilizing knowledge of CPT and ICD codes, and effectively communicating with various stakeholders to ensure timely claim resolution.

Highest-signal resume keywords

Insurance Claims AnalysisMedical Billing Follow-UpCPT and ICD Code UnderstandingPayer Portal UtilizationProcess Improvement Initiatives

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claim Denial ResolutionBilling CorrectionsEOB PreparationItemized Statement SubmissionMedical Record ManagementAccount Activity Record MaintenanceInsurance TerminologyRemittance Advice UnderstandingClaims DocumentationProduction and Quality Standards

Soft Skills

Effective CommunicationPrioritizationProblem SolvingCollaborationAdaptability

Tools & Technologies

Electronic Health RecordsPatient Accounting SystemsPayer PortalsMeditech

Certifications & Qualifications

Medicare Certification

Industry Keywords

Commercial InsuranceThird-Party InsuranceBCBS ExperienceClaim RejectionsPayment Delays

About the role

Key responsibilities & impact

Conduct detailed analysis and follow-up on outstanding commercial and government insurance claims
Research and resolve claim denials, rejections, and underpayments through billing corrections, appeals, and resubmissions
Prepare and submit EOBs, itemized statements, medical records, and other claim documentation
Respond to payer and patient inquiries regarding delinquent claims
Use payer portals, Electronic Health Records, and patient accounting systems to investigate claim status, post notes, and manage follow-up activities
Identify denial and payment-delay trends and contribute to process improvement initiatives
Maintain accurate account activity records and meet production and quality standards
Communicate with insurance representatives, patients, and internal departments to resolve outstanding issues
Prioritize daily workload in a fast-paced, high-volume environment
Provide support on special projects and additional assignments as requested by management

Requirements

What you’ll need

2 years of previous experience working with commercial or other third-party insurance claims, medical billing/follow-up
Understanding of various forms, CPT and ICD codes, insurance terminology, and insurance company remittance advice
Meditech experience preferred but not required
BCBS experience is a plus
Certificates, licenses, registrations, and/or Medicare certification are a plus, but not required

Benefits

Comp & perks

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