Job Description

This is a focused, high-volume outbound calling role. You will spend the majority of your day on the phone with insurance carriers — checking claim status, resolving denials, gathering information, following up on pending payments, and documenting outcomes. If you are persistent, professional, and know how to navigate payer phone trees and insurance representatives to get results, this role is for you.

Key Responsibilities

Insurance Follow-Up Calls — Primary Function

This is the core of the role. The majority of each workday will be spent making outbound calls to insurance companies.

• Make high-volume outbound calls to insurance carriers to follow up on outstanding, unpaid, and underpaid claims

• Check claim status on aging accounts and document outcomes accurately in the billing system after each call

• Identify the reason for non-payment — whether due to processing delays, missing information, denials, or payer-side errors — and take appropriate next steps

• Request claim reprocessing, corrections, or reconsideration directly with insurance representatives when applicable

• Navigate payer phone systems, hold queues, and insurance representatives professionally and persistently

• Escalate complex or unresolvable accounts to the billing team with full documentation of call history and payer responses

Denial Identification & Resolution Support

• Identify denial reason codes and document them clearly for each affected claim

• Gather information from payers needed to resolve denials — including missing documentation requirements, coordination of benefits issues, or eligibility discrepancies

• Communicate denial findings to the billing team so appropriate corrective action can be taken — resubmission, appeals, or patient billing

• Track recurring denial patterns and report trends to the billing manager

A/R Tracking & Documentation

• Maintain accurate and up-to-date call logs and notes for every insurance follow-up interaction

• Document payer responses, reference numbers, representative names, and promised payment dates for all calls

• Update claim statuses in the billing system in real time to keep the billing team informed

• Work assigned aging buckets systematically — prioritizing by dollar amount, payer deadline, and days outstanding

• Monitor promised payment timelines and re-engage payers if commitments are not fulfilled

Collaboration with the Billing Team

• Work closely with the existing medical billing team to understand claim priorities and receive direction on which accounts need immediate attention

• Communicate daily progress on assigned accounts and flag anything requiring billing team action

• Provide the billing manager with regular updates on call volume, outcomes, and any payer issues that need escalation

Required Qualifications

• Prior experience making insurance follow-up calls in a medical billing or healthcare revenue cycle setting — this is a hard requirement

• Comfortable making a high volume of outbound calls to insurance companies daily

• Familiar with common denial reason codes, payer responses, and insurance claim adjudication processes

• Professional and persistent phone presence — you are patient with hold times, clear with representatives, and do not give up until you have an actionable answer

• Strong documentation habits — every call is logged accurately and completely before moving to the next

Requirements

This is a full time role

Up to $6/hr

100% Remote