Billing & Follow-Up Specialist
Core
Billing and follow-up specialist responsible for maximizing insurance reimbursement by managing claim submissions, resolving denials, and contacting payers.
Role type
Healthcare revenue cycle specialist (billing & follow-up)
Builds
Insurance claim submissions and follow-up processes for a mental health telehealth platform
Domain
Healthcare / Mental Health / Telehealth
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
claim submission process knowledge, denial resolution, cash posting and reconciliation, payer communication, root cause analysis for payment variances, trend identification
Preferred skills
experience with mental health/telehealth clinicians, ability to work in a new department, comfort with ambiguity
Technologies
workflow applications
Responsibilities
Review and prioritize follow-up activities requiring claim edits or payer follow-up, Research claim denial issues and resolve them to release claims, Contact insurance companies to resolve processing delays, Investigate payment variance situations, Capture follow-up activities with clear notes, Identify trends in payer behavior
Seniority
Mid-level, hands-on IC