What are the responsibilities and job description for the Medical Claims Follow up Specialist position at Medical Foot Care Center?
Established physician office seeking an experienced Medical Claims Follow-Up Specialist to manage insurance accounts receivable, denials, and appeals. This role is ideal for someone who enjoys problem-solving, working accounts, and ensuring accurate reimbursement from commercial and government payers.
Small, team-oriented office with a supportive work environment and long-term stability.
Key Responsibilities
- Review and follow up on insurance denials and unpaid claims
- Submit corrected claims and appeals as needed
- Work with payers including UnitedHealthcare, Aetna, Cigna, and Blue Cross Blue Shield
- Analyze EOBs and ensure accurate payment posting and adjustments
- Identify trends in denials and recommend solutions
- Correct errors related to demographics, coding, and charge entry
- Communicate with insurance companies regarding claim status
- Assist front office with patient account questions as needed
Qualifications
- Minimum 1–2 years experience in medical claims follow-up / AR
- Strong understanding of insurance guidelines and billing processes
- Experience with denials, appeals, and payment posting
- Familiarity with CMS and commercial payer rules
- Strong analytical and organizational skills
- Ability to manage multiple accounts in a fast-paced environment
Additional Requirements
- Proficient in Microsoft Word, Excel, and practice management systems
- High school diploma or equivalent required
- Ability to sit/stand and work at a computer for extended periods
Compensation & Schedule
- Full-time, Monday–Friday (9 AM – 5 PM)
- Compensation: Based on experience
Additional Information
- This is an in-office position
- Benefits: Not offered at this time
Job Type: Full-time
Experience:
- Insurance specialist: 1 year (Required)
- Claim Follow Up: 1 year (Required)
Work Location: In person
Pay: $18.00 - $23.00 per hour
Benefits:
- Paid time off
Work Location: In person
Salary : $18 - $23