Follow Up Specialist, Denials

📋 Description

• Review denial letters and initiate follow-up actions to confirm and dispute appeal denials.
• Contact insurance companies via phone, payer portals, and email to clarify denial reasons and
• Submit disputes for denials related to timely filing, missing documentation, or administrative
• Provide supporting documentation such as USPS printouts, fax confirmations, email delivery
• Monitor outstanding appeals and escalate unresolved cases in accordance with payer contract
• Track pending decisions and proactively follow up if no response is received within contractually

🎯 Requirements

• High School Diploma or GED required. Associates or Bachelor’s Degree preferred.
• 2-3 years’ experience in healthcare field working in billing or collections.
• 1+ years’ customer services experience.
• Knowledge of insurance payer/provider claims processing and subsequent data requirements.
• Must have strong computer proficiency and understand how to use basic office applications
• Strong interpersonal and communication skills, with the ability to collaborate effectively with