Insurance Follow-up Specialist (Remote) at GetixHealth

Job Details

Description

Be the Hero of Unpaid Claims!

Are you a problem-solver with a passion for persistence? Join our team as an Insurance Follow-Up Specialist, where your job is to track down claim statuses, untangle billing issues, and make sure nothing falls through the cracks. You’ll be part detective, part communicator, and fully dedicated to helping our clients get paid. If you love a challenge and enjoy bringing financial closure to complex situations, this role is for you!

Potential Start Date: 12/29/2025

Location: Remote (Must pass Internet Speed Test + Typing Test)

Equipment: Will be provided

Compensation: $16- $18 per hour (based on experience) + quarterly bonus eligibility

Shift: Monday – Friday, 9:00 AM – 6:00 PM

Position Requirements

The Insurance Follow-Up Specialist is responsible for pursuing timely resolution of billed claims by contacting insurance carriers, reviewing patient account notes, determining eligibility when necessary, and supporting accurate and efficient billing processes. This role requires experience consistently following up with medical insurance providers to resolve claim issues and secure payments. Experience with medical billing and coding is acceptable. A minimum of one (1) year of direct experience in insurance follow-up or medical billing/coding is required—no exceptions. Please note: insurance verification experience alone does not meet the qualifications for this position.

Key Responsibilities

• Follow-up with insurance companies on billed claims regarding claim status and resolution of payments in a timely manner.
• Review patient account notes thoroughly to assess potential insurance benefit eligibility.
• Access client systems to verify insurance coverage and claim filing status prior to billing.
• Request and collect necessary documentation from clients to support accurate and complete insurance billing.
• Track and verify payments with accuracy, ensuring all payment activity is recorded appropriately.
• Contact patients when additional information is required to complete billing.
• Maintain thorough, efficient, and accurate documentation in all required systems for every task and interaction.
• Identify root causes of claim issues or delays, determine appropriate solutions, and escalate to management as needed.
• Ensure full compliance with all applicable Federal, State, and Local regulations as they relate to insurance billing and follow-up.
• Adhere to company policies and procedures in all aspects of the role.
• Provide feedback to leadership on recurring issues or areas of opportunity within workflows or systems.
• Make recommendations to implement improved processes.
• Perform other duties as assigned by management.
  
  

Qualifications

• High School Diploma or GED required; equivalent relevant experience may be considered.
• Previous experience in insurance, medical billing, or customer service is preferred.
• EPIC experience is a Plus!
• Proficient in Microsoft Office and general computer applications.
• Strong interpersonal, written, and verbal communication skills.
• Ability to work effectively in a collaborative, team-based environment.
• Highly organized with the ability to multitask and prioritize tasks in a fast-paced setting.
• Flexible and adaptable to changing schedules and priorities.
• Maintains a high level of confidentiality and professionalism.
  

Benefits And Incentives

• Comprehensive Health Coverage: Group medical, dental, and vision plans available from the first day of the month following 60 days of full-time employment.
• Life and Disability Insurance: Basic life/AD&D, short-term, and long-term disability coverage provided, with options for voluntary life/AD&D.
• 401(k) Retirement Savings Plan: Eligible to participate in the company’s 401(k) plan at the beginning of the first calendar quarter following 6 months of continuous service.
• Paid Time Off (PTO): Accrue Paid Time Off starting on your first day of employment.
• Flexibility in Benefits: The company reserves the right to amend, modify, or terminate any benefits programs as needed.
  
  

Note: This job description outlines the primary duties and qualifications for the role. It is not intended to be an exhaustive list of responsibilities or working conditions.

GetixHealth is an Equal Opportunity and E-Verify Employer.