Insurance Follow-Up Specialist (Remote)

About the role

Are you experienced in insurance verification, claim follow‑up, and resolving payer issues? Do you thrive in fast‑paced healthcare environments where attention to detail matters? Join GetixHealth as an Insurance Eligibility & Follow‑Up Specialist and help ensure patients receive the coverage and care they need. This role combines front‑end insurance eligibility verification with back‑end insurance follow‑up responsibilities—helping reduce denials, improve reimbursement, and support a seamless patient financial experience from start to finish. The position is full‑time, remote (must pass an internet speed test; equipment provided), with a potential start date of 9/28/2026. The role requires prolonged sitting and regular computer use, exposure to sensitive and confidential patient information, and occasional overtime may be required based on workload and business demands.

Responsibilities

• Follow-up with insurance companies on billed claims regarding claim status and resolution of payments in a timely manner.
• Verify patient insurance eligibility and benefits prior to scheduled services.
• Confirm active coverage, copays, deductibles, coinsurance, and patient responsibility estimates.
• Identify prior authorization requirements and escalate when needed.
• Track outstanding insurance claims (Accounts Receivable / AR).
• Contact insurance companies by phone, payer portals, or email to check claim status.
• Investigate denials, underpayments, rejections, and missing claim information.
• Correct claim issues and resubmit claims when necessary.
• Document all account activity and insurance updates accurately in the billing system.
• Escalate complex or long-pending claims to supervisors or billing leadership.
• Collaborate with scheduling, billing, and provider teams to