Insurance Follow-Up Specialist Job at Robert Half (Springfield)

Insurance Follow-Up Specialist

We are looking for an Insurance Follow-Up Specialist to join a healthcare revenu...

Location

United States , Danville

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Experience handling insurance follow-up within a medical billing, revenue cycle, or healthcare accounts receivable environment
Working knowledge of accounts receivable processes, claim status review, denial resolution, and payer reimbursement workflows
Ability to interpret payer requirements and apply billing corrections with a high degree of accuracy
Comfortable navigating payer websites, clearinghouse tools, and other online resources used for eligibility and claim research
Strong attention to detail with the ability to identify registration, charge, or billing discrepancies before they affect payment
Effective time management skills and the ability to maintain productivity while working a high-volume follow-up queue
Clear written and verbal communication skills for coordinating claim issues and payment resolution
Familiarity with healthcare billing standards, remittance review, and insurance payment adjustment practices

Job Responsibility

Prepare and submit initial insurance claims through both electronic platforms and paper processes, ensuring bills are sent out accurately and on schedule
Examine claim details before submission to confirm charges, coding-related edits, and billing data align with payer expectations
Apply current knowledge of payer-specific billing rules to identify issues, make needed corrections, and reduce avoidable denials or delays
Use payer portals and online resources to verify coverage, monitor claim progress, and stay informed on updates that may affect reimbursement
Manage daily accounts receivable work queues to pursue unpaid insurance balances and support prompt collection of outstanding amounts
Investigate payer denials, rejections, and clearinghouse responses, coordinate corrections, and resubmit claims or route balances appropriately when needed
Review patient registration and account information for completeness and accuracy to help prevent downstream billing errors
Process insurance credit balances correctly and support departmental expectations for quality, productivity, and follow-up performance

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Insurance Follow-Up Specialist

Location

United States , Danville

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Experience handling insurance follow-up within a medical billing, revenue cycle, or healthcare accounts receivable environment
Working knowledge of accounts receivable processes, claim status review, denial resolution, and payer reimbursement workflows
Ability to interpret payer requirements and apply billing corrections with a high degree of accuracy
Comfortable navigating payer websites, clearinghouse tools, and other online resources used for eligibility and claim research
Strong attention to detail with the ability to identify registration, charge, or billing discrepancies before they affect payment
Effective time management skills and the ability to maintain productivity while working a high-volume follow-up queue
Clear written and verbal communication skills for coordinating claim issues and payment resolution
Familiarity with healthcare billing standards, remittance review, and insurance payment adjustment practices

Job Responsibility

Prepare and submit initial insurance claims through both electronic platforms and paper processes, ensuring bills are sent out accurately and on schedule
Examine claim details before submission to confirm charges, coding-related edits, and billing data align with payer expectations
Apply current knowledge of payer-specific billing rules to identify issues, make needed corrections, and reduce avoidable denials or delays
Use payer portals and online resources to verify coverage, monitor claim progress, and stay informed on updates that may affect reimbursement
Manage daily accounts receivable work queues to pursue unpaid insurance balances and support prompt collection of outstanding amounts
Investigate payer denials, rejections, and clearinghouse responses, coordinate corrections, and resubmit claims or route balances appropriately when needed
Review patient registration and account information for completeness and accuracy to help prevent downstream billing errors
Process insurance credit balances correctly and support departmental expectations for quality, productivity, and follow-up performance

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Fulltime

Bilingual Medical Insurance Specialist

Are you looking for the chance to work 100% from home while utilizing your organ...

Location

Canada , Moncton

Salary:

52000.00 - 55000.00 CAD / Year ▼

Randstad

Expiration Date

August 12, 2026

Requirements

Minimum of 2+ years of recent experience within the last 7 years as a Patient Caseworker, Pharma Reimbursement Specialist, Patient Coordinator, or Patient Care Specialist
Navigating public/private insurance funding, benefit investigations, special authorizations, and appeals
5/5 bilingual proficiency in French and English
Legally eligible to work full-time in Canada
Experience with CRM systems (such as Salesforce) and Microsoft Office
Reside in Quebec (QC) or New Brunswick (NB)

Job Responsibility

Coordinate and manage all aspects required to obtain prescription drug coverage for patients
Navigate complex lobbying processes, investigate financial options, manage benefit investigations, and handle special authorizations and appeal requests
Implement call-centre programs providing telephone support to patients, healthcare professionals, and funding bodies regarding funding and access issues
Act as a critical liaison between patients, pharmacies, insurance companies, and physicians' offices to maximize reimbursement solutions
Administer case-management protocols including data collection, ongoing patient follow-up, therapy disruption monitoring, and mandatory adverse event reporting
Accurately document every activity and interaction in the program-specific CRM database and coordinate all related paperwork for insurance and federal funding submissions

What we offer

Registered Savings Plan (RSP) with an immediate company match starting on Day 1
Access to a company stock purchase program
Immediate access to full medical, dental, and vision care packages
3 weeks of paid vacation
Designated paid sick and wellness days
Annual performance bonus potential
Annual merit review process for salary increases
Extensive programs focusing on physical, emotional, financial, and social wellness (including backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, and paid parental/caregiver leave)
Home office hardware and equipment provided as per company policy
Monday-Friday schedules

Fulltime

Insurance Specialist - Fintech

Take on an impactful role driving the expansion of the digital insurance channel...

Location

Singapore , Singapore

Salary:

Not provided

Randstad

Expiration Date

July 26, 2026

Requirements

Proven track record in insurance sales or financial advisory services
Strong communication and interpersonal skills to build rapport with a digital-first audience
Deep understanding of various insurance products and financial planning principles
Ability to thrive in a high-growth, fast-paced environment and meet performance targets
Commitment to maintaining high ethical standards and compliance with financial regulations

Job Responsibility

Take on an impactful role driving the expansion of the digital insurance channel while providing tailored financial solutions to a broad customer base
Cultivate and manage long-term customer relationships through proactive engagement and regular follow-up
Perform comprehensive financial needs analysis to recommend insurance solutions aligned with client goals
Act as a technical expert on a diverse suite of insurance products and prevailing market developments
Identify new business opportunities and manage a consistent pipeline to achieve growth objectives
Ensure all advisory activities and documentation strictly adhere to regulatory standards and internal policies

Fulltime

Medical Insurance Collections Specialist

Join a mission-driven healthcare team where your expertise directly impacts pati...

Location

United States , Van Nuys

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 3 years of experience in hospital billing and collections within a healthcare or hospital environment
Working knowledge of medical billing, medical collections, denials management, and appeals processing
Hands-on experience with hospital revenue cycle operations for both inpatient and outpatient accounts
Familiarity with Medicare managed care, Medi-Cal managed care, commercial insurance, and HMO/PPO reimbursement structures
Ability to review account details, identify payment issues, and resolve balances through organized follow-up
Strong written and verbal communication skills for payer outreach, documentation, and appeal preparation
High attention to detail and the ability to manage multiple accounts while meeting productivity expectations

Job Responsibility

Drive resolution of outstanding hospital claims by reviewing account status, contacting payers, and securing timely reimbursement
Manage collection activity across a diverse portfolio of insurance plans, including Medicare Managed Care, Medi-Cal Managed Care, commercial payers, and HMO/PPO products
Research denied and underpaid claims, identify root causes, and prepare compelling appeals with supporting documentation
Handle both inpatient and outpatient hospital billing accounts while ensuring compliance with payer requirements and contractual guidelines
Analyze payment activity, billing edits, and account trends to identify reimbursement barriers and implement corrective actions
Maintain thorough and accurate documentation of payer communication, follow-up activity, and account resolution steps
Collaborate closely with billing, coding, and revenue cycle teams to resolve claim discrepancies and improve collection performance
Adapt to department workflows and support Collector I-level processes and training initiatives as needed

What we offer

medical, vision, dental, and life and disability insurance
enrollment in company 401(k) plan

Fulltime

Part-Time Bilingual Spanish Insurance Enrollment Specialist

A Healthcare Company is seeking a Part-Time Bilingual Spanish Insurance Enrollme...

Location

United States , Buena Park

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

1+ year of experience in one or more of the following areas: Medical front desk, Patient access, Insurance enrollment
Strong communication and customer service skills
Detail-oriented with the ability to manage high-volume workflows
Strong organizational skills and ability to maintain accurate records
Basic computer proficiency and data entry skills
Bilingual in Spanish and English required

Job Responsibility

Guide patients through Covered California and Medi-Cal enrollment processes
Assist patients with applications, eligibility verification, and plan selection
Educate patients on insurance options, benefits, and coverage details in a clear and supportive manner
Verify documentation and ensure accuracy and completeness of all enrollment records
Provide in-person and phone support to patients with questions related to enrollment and coverage
Track enrollment activity and maintain accurate records in internal systems
Conduct follow-up with patients regarding renewals, missing documents, and incomplete applications
Support outreach efforts and community enrollment initiatives as needed
Collaborate with internal staff to help resolve enrollment issues and ensure a positive patient experience

What we offer

Medical Insurance
Dental Insurance
Vision Insurance
401K Retirement
Sick Time Off
Tuition Reimbursement

Parttime

Radiology Authorization Specialist

We are seeking candidates for a Radiology Authorization Specialist position with...

Location

United States , Boston

Salary:

21.00 USD / Hour

Daley and Associates

Expiration Date

Until further notice

Requirements

Bachelor’s degree preferred
preferably in healthcare/business administration or a health science-related field
0-2 years of relevant work experience, including healthcare/business administration, health insurance, medical policy/chart review, nursing, and/or other allied health fields
Strong communication skills
Strong Microsoft Office suite experience
Project Management experience (preferred)

Job Responsibility

Review and monitor all radiology authorization imaging exams
Identify all patient access issues creating barriers to prior authorization
Prepare and complete the prior authorization request
Review and comprehend patient progress notes, lab reports, summaries, and imaging reports
Manage the prior authorization process from initial submission to authorization
Complete denial follow-up

Fulltime

Patient Services Specialist 2

Location

United States , Dallas

Salary:

Not provided

Baylor Scott & White Health

Expiration Date

Until further notice

Requirements

EDUCATION - H.S. Diploma/GED Equivalent
EXPERIENCE - 1 Year of Experience
Strong listening, interpersonal and communication (oral and written) skills, and professional, pleasant and respectful telephone etiquette
Ability to adapt communication style to suit different audiences
Empathetic listener, sensitive, upbeat, optimistic, articulate, gracious and tactful
Knowledge of patient registration procedures and documentation
Knowledge of medical insurance claims procedures and documentation
Needs to have thorough understanding of the Out of Network process
Skilled in the use of personal computers and related software applications
Skilled in preparing and maintaining patient records

Job Responsibility

Assists patients and other visitors by performing patient related duties to include check-in or check-out, scheduling, insurance verification and answering and responding to phones inquiries
Arranges follow-up visits and referral appointments
Registers patients by collecting and verifying insurance information
Verifies patient demographics and enters changes into computer system
Directs patients to appropriate waiting areas
Accepts payments for physician/clinic services according to established guidelines
Posts payments and enters charges into computer utilizing appropriate codes
Generates daily payment reports and verifies cash drawer against report
Provides accurate patient, medical, financial or procedural information to patients or approved outside entities
Discusses financial arrangements with patients, as requested

What we offer

Immediate eligibility for health and welfare benefits
401(k) savings plan with dollar-for-dollar match up to 5%
Tuition Reimbursement
PTO accrual beginning Day 1

Fulltime

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Insurance Follow-Up Specialist

Job Description

Job Responsibility

Requirements

What we offer

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Insurance Follow-Up Specialist

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