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  • Review and prioritize follow-up activities requiring claim edits or general payer follow-up.
  • Research claim denial issues and resolve them in a timely manner to release claims to payers.
  • Contact insurance companies to understand delays in processing claims or sending payments and identify next steps to resolve them.

Healthcare Claim Submission Denial Management Communication Collaboration

15 jobs similar to Billing & Follow-Up Specialist

Jobs ranked by similarity.

US

  • Review and evaluate denied claims using proprietary software to determine correct reimbursement.
  • Research and acquire medical records and supporting documentation for submission to payers.
  • Conduct telephone follow-up with payers to ensure prompt reimbursement.

EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations using an intelligent automation platform. The company has over 24 years of industry expertise, is a multi-year Top Workplaces award recipient, and has been on the Inc. 5000 list for eleven years.

$40,000–$50,000/yr
US

  • Respond to client and team information requests in a timely, professional manner.
  • Communicate with insurance carriers to resolve claim issues and improve cash flow.
  • Contribute to training materials and maintain proactive communication with clients.

Ternium RCM specializes in resolving complex healthcare insurance claim denials and delays, empowering hospitals to focus on patient care. They are a growing team of dedicated professionals committed to optimizing revenue cycles and improving healthcare outcomes.

$62,400–$62,400/yr
US 3w PTO

  • Manage medical claims submission and follow-up across multiple payers using CMS1500.
  • Support credentialing tasks including provider enrollment, license tracking, and payer enrollment.
  • Monitor accounts receivable, resolve billing discrepancies, and improve revenue cycle workflows.

Protera Health is a health-tech startup transforming the delivery of musculoskeletal (MSK) care through a multidisciplinary approach and patient tracking technology. Founded by orthopedic surgeons and value-based care experts, it is a growing team that emphasizes collaboration, innovation, and a patient-first culture.

$14–$18/hr
US

  • Perform follow-up status requests through telephone, internet, and fax requests.
  • Process incoming and outgoing mail, scanning, and document consolidation and indexing.
  • Maintain a working knowledge of internal policies and client systems and credentials.

Ternium specializes in resolving complex healthcare insurance claim denials and delays, empowering hospitals by optimizing their revenue cycle. They have a dedicated team of professionals focused on delivering outstanding results for healthcare providers.

$17–$18/hr
US

  • Investigate and research health insurance claims to ensure maximum payment for hospitals and medical providers.
  • Follow up on unresolved commercial, Medicare, and Medicaid claims to facilitate payment.
  • Support the team with denial reports, audits, and overall tasks in a fast-paced environment.

Revecore helps hospitals recover earned revenue so they can continue serving patients and communities. Trusted by 1,300+ hospitals across 48 states, it combines specialized expertise with proprietary technology and fosters a supportive, innovative culture.

$60,000–$80,000/yr
US

  • Own claims adjudication, denials management, and EDI workflows to ensure accurate payment and compliance.
  • Build reporting dashboards and KPIs to track claims performance and drive process improvements.
  • Collaborate with prior auth, finance, and client teams to close the loop between authorization and payment.

OneImaging is a concierge radiology service that connects patients with a network of over 5,000 vetted providers across 48 states, reducing imaging costs by 60-80%. We are a high-growth company building the infrastructure for fair and transparent medical imaging, with a focus on employer and payer ROI.

US

  • Submit provider bills to health insurance or MedPay carriers accurately and timely.
  • Follow up with providers and insurance carriers to ensure prompt payment and maximize client recovery.
  • Verify medical balances and coordinate benefits to facilitate smooth settlement distributions.

Parnall Law Firm is the largest personal injury firm in New Mexico, dedicated to advocating for clients when they need it most. The team is a group of passionate advocates with a culture of learning, growing, and supporting one another.

US

  • Manage patient billing inquiries, resolve denials, and process insurance verifications.
  • Work claims end-to-end via clearinghouse and collaborate with cross-functional partners.
  • Optimize RCM processes, develop SOPs, and support ad-hoc projects including AI tool testing.

Nourish is an AI-native digital health system matching patients with Registered Dietitians, physicians, medications, and lab testing to deliver insurance-covered care across all 50 states. Founded four years ago, the company has completed millions of appointments, tripled year-over-year, and raised a $100M Series C, bringing total funding to $215M.

US

  • Manage billing, receivables auditing, and collections for services provided to patients in assigned facilities.
  • Achieve monthly cash collection goals and minimize the impact of bad debt.
  • Interact with insurance companies via telephone and written correspondence to resolve unpaid claims.

CommuniCare Family of Companies is a national leader in post-acute care, providing person-centered services for individuals with chronic or complex conditions. With over 19,000 employees across six states, the family-owned company is dedicated to serving with pride and fostering an environment where employees thrive.

Global

  • Coordinate daily workloads and priorities across the medical billing team
  • Monitor billing productivity, accuracy, claim submission, and turnaround-time metrics
  • Support team members with complex billing issues, payer requirements, and claim corrections

Raventra Health is a medical services company providing outsourced billing, coding, and claims processing solutions for provider groups and hospitals. They are an equal opportunity employer that prioritizes accuracy and efficiency in medical billing services.

$50,000–$58,000/yr
US Unlimited PTO 12w maternity 12w paternity

  • Support front-end and back-end billing operations for a fully virtual care delivery model.
  • Ensure accurate charge entry, claims submission, and denial resolution.
  • Serve as a billing point of contact for families, explaining insurance processes with empathy.

InStride Health delivers specialty anxiety and OCD care for children, teens, and young adults through a combination of research-backed clinical care and innovative technology. The team is mission-driven, focused on expanding access to insurance-based care, and values heart, smart work, humility, and community.

US

  • Analyze collections and resolve non-payables for complex billing issues.
  • Follow up on insurance payer claims to ensure appropriate reimbursement.
  • Write appeals using established guidelines and communicate with insurance companies.

Ventra is a business solutions provider for facility-based physicians, specializing in Revenue Cycle Management. The company fosters a collaborative and fast-paced environment.

US

  • Make high-volume outbound calls to investigate and bill medical claims for auto accidents.
  • Research accident details to determine payer and submit bills with proper documentation.
  • Follow up on unpaid bills, resubmit for additional payment, and contribute to team reports.

We help hospitals recover the revenue they've earned, trusted by over 1,300 hospitals across 48 states. We combine specialized expertise with proprietary technology and have built a supportive workplace where people embrace innovation.

US Unlimited PTO

  • Prepare and file stop loss claim submissions, assessing eligibility against policy terms and gathering required documents.
  • Build and maintain claimant files, ensuring accurate and audit-ready records throughout the claim lifecycle.
  • Track and recover outstanding reimbursements, monitoring requests and following up with carriers to drive resolution.

Personify Health created the first and only personalized health platform, bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. The company serves employers, health plans, and health systems with data-driven solutions and is on a mission to empower people to lead healthier lives.

US

  • Completing collection and A/R follow-up activities for third party payors.
  • Maintaining quality and productivity requirements as outlined in performance expectations.
  • Reporting to the Manager/Supervisor of A/R Follow-up.

Piedmont Healthcare is a healthcare system providing medical services across Georgia. The corporate office is a large organization focused on revenue cycle management and administrative support.