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Follow Up Specialist – Denials
EnableCompFollow-Up Specialist managing clinical denials for EnableComp’s healthcare revenue-cycle solutions. Investigating payer denials, submitting appeals, and tracking timely resolutions.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare billing and collections, with a strong focus on insurance claims processing and revenue cycle management. Proficient in maintaining detailed records and collaborating effectively within teams to meet performance targets in a high-volume environment.
Highest-signal resume keywords
Healthcare Billing ExperienceInsurance Claims ProcessingMS Office ProficiencyAnalytical Problem-Solving SkillsCustomer Service Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Healthcare BillingClaims ProcessingRevenue Cycle KnowledgeDocumentation ReviewData Analysis
Soft Skills
Interpersonal SkillsCommunication SkillsCollaboration SkillsTime ManagementSound Judgment
Tools & Technologies
MS OfficePayer PortalsDocument Review Software
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
Denial ManagementAppeal ProcessPatient Health InformationClient-First ApproachContinuous Improvement
About the role
Key responsibilities & impact- Review denial letters and initiate follow-up actions to confirm and dispute appeal denials
- Contact insurance companies via phone, payer portals, and email to clarify denial reasons and request reconsideration
- Submit disputes for denials related to timely filing, missing documentation, or administrative errors
- Provide supporting documentation such as USPS printouts, fax confirmations, email delivery receipts, and tracking numbers
- Monitor outstanding appeals and escalate unresolved cases according to payer contract guidelines
- Track pending decisions and proactively follow up when responses are overdue
- Maintain detailed records of follow-up efforts, payer responses, and dispute outcomes
- Collaborate with the team, pursue continuous improvement, and maintain a client-first approach
- Apply feedback, adapt to changes in processes and priorities, and perform other duties as required
- Meet departmental performance and production targets accurately and efficiently
- Handle patient health information with strict privacy and security
- Work extensively with computers, phones, and document review in a primarily office-based environment
Requirements
What you’ll need- High School Diploma or GED required
- 2–3 years’ experience in healthcare billing or collections
- 1+ years’ customer service experience
- Knowledge of insurance payer/provider claims processing and data requirements
- Knowledge of the revenue cycle process
- Strong computer proficiency, including MS Office (Word, Excel, and Outlook)
- Strong written, interpersonal, and communication skills
- Strong analytical and problem-solving skills
- Ability to collaborate with team members and cross-functional teams
- Ability to prioritize and manage multiple competing priorities and projects
- Ability to meet benchmarks and handle time-sensitive workloads in a high-volume environment
- Sound judgment when escalating disputes or transferring cases
- Timely and regular attendance
- Ability to sit for extended periods and remain stationary 50% of the time
- Ability to read and analyze medical records on screens and in print
- Ability to constantly operate a computer and other office equipment
- Equivalent combination of education and experience will be considered
- Must adhere to EnableComp’s Core Values, Vision, and Mission
Benefits
Comp & perks- Professional growth and development opportunities
- Tools, resources, and support to thrive and grow their career
- Family-oriented and flexible workplace
- Support for work-life balance
- Positive, cooperative team culture