Job Summary The Insurance Follow-up Specialist is responsible for managing outstanding insurance claims to support timely and accurate reimbursement. The role investigates denied, rejected, and underpaid claims, communicates with insurance carriers, processes corrected claims and appeals, reviews EOBs and ERAs, and maintains accurate follow-up documentation. The position works closely with internal billing and healthcare teams to reduce aging accounts receivable while maintaining compliance with HIPAA and company policies.

- Review and follow up on outstanding insurance claims to secure timely payment.
- Investigate denied, rejected, and underpaid claims, identify root causes, and determine appropriate resolutions.
- Contact insurance carriers through phone, payer portals, and written correspondence to resolve claim issues.
- Submit corrected claims, appeals, and required supporting documentation.
- Review Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs) to reconcile payments and adjustments.
- Ensure payments, adjustments, and contractual write-offs are accurately posted and documented.
- Maintain complete and accurate documentation of claim follow-up activities in the billing system.




- Monitor accounts receivable aging and prioritize accounts based on timely filing limits and payer requirements.
- Collaborate with billing, coding, credentialing, and other internal teams to resolve claim issues.
- Respond professionally to patient and insurance inquiries regarding billing and claim status.
- Maintain the confidentiality of Protected Health Information (PHI) and comply with HIPAA requirements.
- Meet established productivity, quality, and turnaround time expectations.
- Support process improvement initiatives and departmental goals.

Screening Criteria

- High school diploma or equivalent required.
- Minimum of one (1) year of experience insurance follow-up, medical billing, accounts receivable, or revenue cycle management.
- Experience using electronic medical records (EMR/EHR), practice management systems, and payer portals.
- Must have stable employment history.

Desired Qualifications

- Experience in a healthcare environment is preferred.
- Experience working with behavioral health or multi-specialty medical practices is preferred.
- Experience meeting productivity and quality metrics in an insurance follow-up or accounts receivable environment.

📌 A/R Follow-Up Specialist (Colombia)
🏢 Connext
📍 Colombia