Insurance A/R Follow-Up Specialist

Role overview

You will support a US outpatient healthcare provider by handling the outbound payer-call process for unpaid and underpaid claims. This position focuses on keeping receivables moving by contacting US insurance companies, checking claim status, addressing denials, and helping bring older accounts toward resolution.

This is a high-volume, phone-led revenue cycle management role. Most of your day will be spent on calls with payer representatives, moving through hold queues and phone systems, confirming claim details, identifying denial reasons, requesting reprocessing or reconsideration where needed, and recording every result in the billing system. You will partner closely with the billing manager and the in-house billing team, who will use your findings for appeals, resubmissions, and patient billing.

Primary responsibilities

• Place a large number of outbound calls to insurance carriers regarding unpaid, outstanding, and partially paid claims
• Review claim status for aging accounts and capture accurate notes after each interaction
• Determine why a claim was not paid, including delays, missing details, denials, or payer-side mistakes, and respond with the correct next action
• Ask insurance representatives for reprocessing, correction, or reconsideration of claims
• Work through payer IVR systems, wait times, and representatives in a calm, professional, and persistent manner
• Escalate complex or unresolved accounts to the billing team with complete call documentation

Denial management

• Recognize and record denial reason codes for impacted claims
• Collect payer details needed to work through denials, including missing documents, coordination of benefits issues, and eligibility mismatches
• Share denial findings with the billing team so they can pursue appeals, resubmissions, or patient billing
• Watch for repeated denial trends and report them to the billing manager

Accounts receivable tracking and documentation

• Keep detailed call logs for every payer conversation, including representative names, reference numbers, promised payment dates, and responses received
• Update claim status in the billing platform as soon as information is obtained
• Work through assigned aging buckets in an organized way, prioritizing by amount, deadline, and days outstanding
• Follow up again when promised payment dates are missed

Team coordination

• Coordinate with the billing team to understand which claims need immediate attention
• Share daily progress and flag accounts that require action from the billing team
• Give the billing manager regular updates on call volume, outcomes, and payer-related issues

Requirements

• Previous hands-on experience making insurance follow-up calls in a US medical billing or healthcare revenue cycle environment is required
• Ability to handle a high outbound call volume every day
• Working knowledge of common denial reason codes, payer replies, and how insurance claims are adjudicated
• Strong phone communication style with patience, persistence, and professionalism during long hold times and difficult conversations
• Excellent documentation discipline, with complete call logging before moving to the next account
• Dependable high-speed home internet, a quiet workspace, and a functioning headset
• Availability for full-time work with daily overlap in US Mountain Time hours

Preferred experience

• Exposure to US clearinghouses or payer portals such as Availity
• Background with outpatient therapy or other specialty practice claims
• Experience using a cloud-based practice management or EHR billing system

Offer and working details

• Pay is up to 6 USD per hour
• The role is fully remote
• This is a full-time position
• Initial calls are scheduled within the US Mountain Time Arizona MST window of 3:00 AM to 1:00 PM MST
• Applicants should be comfortable with the time difference and be flexible around those hours
• By applying, you agree to be contacted through the details provided in your application for recruitment purposes only

Application note

To apply, you must have an updated and complete resume profile and finish the assessment provided in the job post.