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Insurance Follow-Up & Denial Management Specialist

Robert Half

We are looking for a Remote Insurance Follow-Up & Denial Management Specialist. This remote opportunity is based in Chicago, Illinois, and focuses on guiding coordination of benefits issues through clear communication with patients and payers. The ideal candidate brings strong medical billing knowledge, confidence handling claim denials, and a service-minded approach to every interaction.Responsibilities:Investigate and resolve Coordination of Benefits (COB) claim denials.Serve as the liaison between patients and insurance companies.Manage insurance follow-up activities for outstanding claims and accounts receivable.Research, analyze, and resolve claim denials, underpayments, and reimbursement discrepancies.Handle both inbound and outbound calls with patients and insurance carriers.Participate in three-way calls with patients and insurance representatives to facilitate claim resolution.Manage high-volume communications including phone calls, letters, and text messages.Advocate effectively with insurance companies to secure claim payment and resolution.Document account activity thoroughly and maintain detailed notes.Escalate issues appropriately while utilizing critical thinking to determine the best path to resolution.Balance patient service needs with insurance collection and denial management responsibilities.Maintain productivity and quality standards in a fast-paced environment.Utilize available resources to independently work accounts and resolve complex insurance issues.

Vacancy posted 1 hour ago
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