Insurance Follow up Specialist

Job Description

Insight Global is seeking an Insurance Follow-Up Specialist to join a revenue cycle team at a large health center in Houston. This individual will be responsible for reviewing, researching, and resolving denied or rejected insurance claims, ensuring timely reimbursement and accurate account resolution. The ideal candidate will have a strong background in physician billing, denial management, Medicare, managed care plans, and Epic.

This role requires a detail-oriented professional who can effectively analyze complex claims, navigate payer requirements, and work in a fast-paced healthcare environment.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to View email address on click.appcast.io learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy:

Skills and Requirements

-High School Diploma or GED required.

-2+ years of healthcare insurance follow-up, accounts receivable, or denial management experience.

-Experience working denied and rejected claims within a healthcare environment.

-Strong knowledge of Medicare, managed care plans, and insurance reimbursement processes.

-Experience with appeals, denial resolution, and payer follow-up.

-Proficiency with Epic.

-Strong analytical and problem-solving skills.

-Excellent communication and documentation abilities.

-Ability to manage multiple priorities in a high-volume environment. 2+ years of physician billing experience.

Experience supporting multiple medical specialties.

Extensive knowledge of revenue cycle operations and payer regulations.

Previous experience in a hospital or large healthcare system environment.

Strong understanding of denial prevention and reimbursement optimization strategies.