Accounts Receivable

Insurance Follow-Up Specialist

At Murfreesboro Medical Clinic & SurgiCenter (MMC), compassion meets innovation and teamwork fuels success! As a physician-owned, multi-specialty clinic, we've proudly served Middle Tennessee for decades. With 20+ specialties under one roof, we've built a supportive, collaborative environment where professionals thrive and patients feel cared for.

Our team is growing, and we're looking for a skilled professional to join us! You'll play an important role in providing excellent care, supporting patients through meaningful moments, and working alongside a supportive team. At MMC, your expertise matters, your voice is valued, and your career has room to grow. Ready to make an impact? We'd love to meet you!

We're committed to supporting your success inside and outside of work with a benefits package that includes medical, dental, and vision insurance, life and disability coverage, FSA & HSA options, a 401(k) with company match, gym membership reimbursement, wellness programs, and more.

Position Overview

The Insurance Follow-Up Specialist plays a critical role in ensuring timely and accurate reimbursement for healthcare services provided by the office. This position is responsible for monitoring outstanding insurance claims, resolving denials, and maintaining effective communication with insurance companies to secure payment. The specialist works closely with billing staff, providers, and patients to support the financial health of the practice.

Key Responsibilities

• Claims Management
• Review and track unpaid insurance claims.
• Follow up with insurance companies via phone, email, or online portals.
• Resubmit corrected claims when necessary.
• Denial Resolution
• Investigate reasons for claim denials or delays.
• Prepare and submit appeals with supporting documentation.
• Collaborate with providers to obtain additional information when required.
• Communication
• Maintain professional communication with insurance representatives.
• Provide updates to patients regarding claim status when appropriate.
• Coordinate with billing and front-office staff to ensure accurate patient records.
• Reporting
• Generate and maintain reports on outstanding claims and collections progress.
• Identify trends in denials and recommend process improvements.
• Compliance
• Ensure adherence to HIPAA regulations and office policies.
• Stay current with insurance guidelines and payer requirements.

Qualifications

• High school diploma or equivalent.
• Minimum 12 years of experience in medical billing, insurance follow-up, or healthcare administration.
• Knowledge of medical terminology, CPT/ICD-10 coding, and insurance claim processes.
• Strong organizational skills with attention to detail.
• Excellent communication and problem-solving abilities.
• Proficiency in practice management software and Microsoft Office Suite.

Work Environment

• Full-time position within a provider's office.
• Collaborative team setting with direct interaction with billing and clinical staff.
• Standard office hours with occasional flexibility based on claim deadlines.

Performance Indicators

• Reduction in outstanding accounts receivable.
• Timely resolution of denied claims.
• Accuracy and efficiency in claim follow-up activities.
• Positive feedback from patients and insurance representatives.

This description is intended to provide only basic guidelines for meeting job requirements.

Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.