Follow Up Specialist II

About the Role

You are a person who is passionate about timely and effective follow-up on outstanding insurance claims to ensure accurate and prompt reimbursement. In this role, you will analyze account activity, investigate denied or unpaid claims, and work with insurance payers and internal departments to resolve issues and expedite payment. We are looking for someone who is a team player, self-motivated, and values professionalism, trust, honesty, and integrity.

Responsibilities

• Follow up on assigned insurance claims to ensure timely and accurate payment.
• Review Explanation of Benefits (EOBs) and remittance advice for payment accuracy and claim status.
• Contact insurance companies via phone, web portals, or written communication to resolve claim issues.
• Identify and appeal denied or underpaid claims based on payer guidelines and documentation.
• Collaborate with billing, coding, and clinical staff to obtain necessary documentation for claims resolution.
• Update patient account notes in the billing system with clear and concise follow-up actions and outcomes.
• Monitor aging reports and prioritize work based on payer deadlines and account balance.
• Ensure compliance with federal, state, and payer-specific regulations and policies.
• Meet individual and team performance goals, including productivity and quality standards.
• Participate in departmental meetings, training sessions, and quality improvement initiatives as required.

Requirements

• High school diploma or equivalent required; Associate's degree in healthcare or business preferred.
• Minimum of 2 years of experience in medical billing, insurance follow-up, or revenue cycle operations.
• Knowledge of insurance payer requirements, CPT/ICD coding, and medical terminology.
• Strong understanding of healthcare claim submission and adjudication processes.
• Experience working with electronic health records (EHRs) and billing systems (e.g., Epic, Meditech, Artiva, etc.).
• Minimum of 1 year of CPSI EMR experience required.
• Minimum of 1 year EPIC EMR experience preferred.
• Excellent verbal and written communication skills.
• Ability to work independently, manage time effectively, and handle multiple priorities.
• Strong analytical and problem-solving skills.

About Us

At Signature, our mission is to improve the health of our clients' business and make the lives of the people we work with better. We are looking for uncommon individuals to enhance our vision and help us in our mission of lowering healthcare administrative costs for federal government agencies, payers, and providers. We lead with our values of Passion, Courage, Integrity, and Respect in all interactions, making us a consistent annual Best Places to Work organization.

Benefits

• Health Insurance
• Fully Paid Life Insurance
• Fully Paid Short- & Long-Term Disability
• Paid Vacation
• Paid Sick Leave
• Paid Holidays
• Professional Development and Tuition Assistance Program
• 401(k) Program with Employer Match