Accounts Receivable Insurance Follow-up Specialist - Full Time

About the role

An Accounts Receivable (AR) Insurance Follow-Up Specialist handles billing inquiries, manages the claims lifecycle, appeals denied claims, and processes insurance refunds.

Responsibilities

• Answer billing and payment-related questions for patients.
• Follow the claims process and ensure timely completion.
• File appeals for denied claims.
• Process refund requests for insurance companies.

Requirements

• Minimum of a high school diploma or GED equivalent.
• Minimum of two (2) years of experience in AR follow-up for a physician practice (preferred).
• Knowledge of medical terminology, ICD, and CPT codes.
• Ability to read Explanation of Benefits (EOBs) and process denials and payments.
• Understanding of payer rules for filing claims.
• Excellent written and oral communication skills.

Qualifications

• Previous orthopedic billing experience (preferred).