Insurance Eligibility

GetixHealth

Insurance Eligibility & Follow-Up Specialist verifying insurance eligibility and following up on claims for healthcare provider. Working in a remote environment and ensuring timely reimbursement.

Posted 4/25/2026full-timeRemote • Florida • 🇺🇸 United StatesJuniorMid-Level💰 $18 - $20 per hourWebsite

About the role

Key responsibilities & impact

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 prevent delays and claim denials.
Maintain compliance with HIPAA, payer guidelines, and internal policies.
Meet productivity, quality, and turnaround expectations in a high-volume environment.

Requirements

What you’ll need

High school diploma or GED required.
Bachelor’s degree preferred.
2+ years of experience in insurance follow-up, eligibility verification, medical billing, or healthcare revenue cycle operations preferred.
Experience with AR follow-up, claims resolution, and payer portals required.
Experience working with Medicare, Medicaid, and commercial insurance plans preferred.
Strong understanding of insurance benefits, authorizations, and denial resolution.
Prior remote work experience preferred.
Strong verbal and written communication skills.
Proficiency in Microsoft Office and healthcare systems.
Experience with EHR systems and billing platforms preferred.
Must be able to type a minimum of 35 words per minute (WPM) with no more than 3 errors.

Benefits

Comp & perks

Comprehensive Health Coverage: Group medical, dental, and vision plans available from the first day of the month following 90 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.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

insurance eligibility verificationclaims resolutionaccounts receivablemedical billingdenial resolutionpayer portalsEHR systemsbilling platformstyping speed 35 WPMcompliance with HIPAA

Soft Skills

strong verbal communicationstrong written communicationcollaborationproblem-solvingattention to detailorganizational skillstime managementadaptabilitycustomer serviceleadership

Certifications

high school diplomaGEDBachelor’s degree