Medical Insurance Denials & Claims Follow-Up Specialist

2 weeks, 5 days ago
Full-time
Mid Level
Operations
Reworks Solutions

Reworks Solutions

ReWorks Solutions provides rigorously vetted, native English-speaking remote professionals backed by white-glove management and proactive support.

Internet Software & Services

Description

  • Review medical billing records, outstanding claims, and denial reports.
  • Investigate denied, rejected, underpaid, and unpaid insurance claims.
  • Contact insurance companies for claim updates and non-payment explanations.
  • Follow up on outstanding claims through resolution.
  • Identify required corrections or information and correct and resubmit claims when needed.
  • Maintain detailed records and notes of all follow-up activities.
  • Track claims throughout the resolution process and ensure no items remain unresolved.
  • Identify recurring denial and billing trends and escalate complex issues.
  • Communicate claim updates clearly to internal stakeholders.

Requirements

  • Previous experience in medical billing, medical claims, health insurance, or revenue cycle management is preferred.
  • Experience with US healthcare insurance is advantageous.
  • Strong organizational, administrative, and record-keeping skills.
  • Excellent attention to detail and accuracy.
  • Confident, persistent, and professional when communicating with insurance companies.
  • Strong investigative, problem-solving, and follow-through skills.
  • Strong written and verbal English communication skills.
  • Ability to manage multiple claims and competing priorities.
  • Ability to work independently with minimal supervision.
  • Reliable, accountable, and comfortable working Monday to Friday from 9 a.m. to 5 p.m. EST.

Benefits

  • Fully remote work from home in South Africa.
  • Work during consistent US business hours.
  • Full-time employment.

Interested in this position?

Apply directly on the company website

Apply Now

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