Insurance Follow-Up Specialist

Revco Solutions

Insurance Follow-Up Specialist resolving outstanding insurance claims for Revco Solutions while maximizing reimbursement and supporting overall revenue cycle.

Posted 5/5/2026full-timeRemote • 🇺🇸 United StatesJuniorMid-Level💰 $19 - $22 per hourWebsite

About the role

Key responsibilities & impact

Conduct detailed analysis and follow-up on outstanding insurance claims (both commercial and government), ensuring timely and accurate resolution in accordance with payer guidelines.
Research and resolve claim denials, rejections, and underpayments by initiating appropriate billing corrections, appeals, and resubmissions.
Prepare and submit claim documentation—including EOBs, itemized statements, and medical records—as required by payers to support claim adjudication.
Respond to payer and patient inquiries related to delinquent claims, maintaining compliance with privacy regulations and payer contract guidelines.
Utilize payer portals, Electronic Health Records (EHR), and patient accounting systems to investigate claim status, post notes, and manage follow-up activities.
Identify trends in denials and payment delays, contributing to process improvement initiatives and strategies for reducing AR days.
Maintain accurate and detailed records of account activity, ensuring that production goals and quality standards are consistently met or exceeded.
Demonstrate strong communication skills when interacting with insurance representatives, patients (as appropriate), and internal departments to resolve outstanding issues.
Prioritize and organize daily workload effectively to meet departmental benchmarks in a fast-paced, high-volume environment.
Provide support on special projects and additional assignments as requested by management

Requirements

What you’ll need

2 years of previous experience working with commercial or other third-party insurance claims, medical billing/follow-up, BCBS experience is a plus
An understanding of various forms, codes (CPT & ICD), insurance terminology and insurance company remittance advice
EPIC experience preferred but not required
Certificates, Licenses, Registrations, and/or Medicare certification are a plus, but not required

Benefits

Comp & perks

🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Revco Solutions Website LinkedIn All Job Openings 501 - 1000 employees ⚕️ Healthcare Insurance 📋 Compliance 🤝 B2B Healthcare Insurance
Compliance
B2B Revco Solutions is a leading provider of revenue cycle management services specializing in healthcare debt collection and compliance. With a commitment to excellence, they offer tailored solutions that enhance performance while ensuring the highest standards of security and compliance. Their experienced team is dedicated to improving the financial health of healthcare organizations by optimizing collection efforts and providing superior client and patient experiences. Insurance Follow-Up Specialist Job not on LinkedIn 🔥 33 minutes ago 🇺🇸 United States – Remote 💵 $19 - $22 / hour ⏰ Full Time 🟢 Junior 🟡 Mid-level 🔒 Insurance 🚫👨‍🎓 No degree required Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
Conduct detailed analysis and follow-up on outstanding insurance claims (both commercial and government), ensuring timely and accurate resolution in accordance with payer guidelines.
Research and resolve claim denials, rejections, and underpayments by initiating appropriate billing corrections, appeals, and resubmissions.
Prepare and submit claim documentation—including EOBs, itemized statements, and medical records—as required by payers to support claim adjudication.
Respond to payer and patient inquiries related to delinquent claims, maintaining compliance with privacy regulations and payer contract guidelines.
Utilize payer portals, Electronic Health Records (EHR), and patient accounting systems to investigate claim status, post notes, and manage follow-up activities.
Identify trends in denials and payment delays, contributing to process improvement initiatives and strategies for reducing AR days.
Maintain accurate and detailed records of account activity, ensuring that production goals and quality standards are consistently met or exceeded.
Demonstrate strong communication skills when interacting with insurance representatives, patients (as appropriate), and internal departments to resolve outstanding issues.
Prioritize and organize daily workload effectively to meet departmental benchmarks in a fast-paced, high-volume environment.
Provide support on special projects and additional assignments as requested by management 🎯 Requirements
2 years of previous experience working with commercial or other third-party insurance claims, medical billing/follow-up, BCBS experience is a plus
An understanding of various forms, codes (CPT & ICD), insurance terminology and insurance company remittance advice
EPIC experience preferred but not required
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Hard Skills & Tools

medical billingclaims analysisbilling correctionsappealsEOB preparationICD codingCPT codinginsurance terminologyclaim adjudicationprocess improvement

Soft Skills

communicationorganizationprioritizationproblem-solvingattention to detailtime managementinterpersonal skillsadaptabilityteam collaborationcustomer service

Certifications

Medicare certificationmedical billing certificationinsurance claims certificationCPCCCSCMACPBCPC-HCICCPC-P