Claims Follow-Up Specialist

6 days ago


Fort Wayne, United States Creative Financial Staffing Full time

Do you have a passion for problem-solving, a knack for numbers, and a love for the healthcare industry? Join our team as a Medical Claims Follow-Up Specialist and help us ensure that every claim gets the attention it deserves
This is an On Site position

About Us: We are dedicated to providing exceptional healthcare services and administrative support. Our team is a lively, dedicated group that values collaboration and innovation. We believe in creating an environment where every team member can thrive. If you're looking for a fun and rewarding career, you've come to the right place

Key Responsibilities of the Claims Follow-Up Specialist:

  • Conduct follow-up on unpaid or denied medical claims to ensure timely and accurate reimbursement.
  • Review and analyze Explanation of Benefits (EOBs) to determine reasons for denials or underpayments.
  • Resubmit corrected claims and provide additional documentation as necessary.
  • Communicate with insurance companies, patients, and healthcare providers to resolve claim issues.
  • Maintain accurate and organized records of all claim follow-up activities.
  • Collaborate with the billing and coding team to ensure proper coding and claim submission practices.
  • Assist with Accounts Receivable management and ensure timely collection of outstanding balances.
  • Stay updated on industry regulations, insurance guidelines, and coding changes.

Qualifications of the Claims Follow-Up Specialist:

  • High school diploma or equivalent required; associate's degree in healthcare administration, finance, or related field preferred.
  • Minimum of 2 years of experience in medical billing, coding, and claims follow-up.
  • Strong understanding of medical billing and coding practices, including ICD-10, CPT, and HCPCS codes.
  • Proficiency in medical terminology and healthcare insurance processes.
  • Experience with Accounts Receivable in a medical setting.
  • Excellent analytical and problem-solving skills.
  • Strong attention to detail and organizational abilities.
  • Exceptional communication and interpersonal skills.
  • Ability to work independently and as part of a dynamic team.
  • Proficiency in medical billing software and electronic health record (EHR) systems.


Click here to apply online

  • Fort Wayne, Indiana, United States Creative Financial Staffing Full time

    Are you skilled in navigating the complexities of healthcare claims? We are seeking a dedicated Medical Claims Resolution Specialist to ensure that every claim is meticulously processed and followed up on.About Creative Financial Staffing: Our organization is committed to delivering outstanding healthcare administrative support. We foster a collaborative and...


  • Fort Wayne, Indiana, United States Creative Financial Staffing Full time

    Are you skilled in navigating the complexities of healthcare claims? We are seeking a dedicated Medical Claims Resolution Specialist to ensure that every claim receives the necessary follow-up and attention.About Creative Financial Staffing: Our organization is committed to delivering outstanding healthcare services and administrative support. We foster a...


  • Fort Wayne, Indiana, United States Aunt Millie's Bakeries Full time

    PRIMARY ROLE:The Workers' Compensation Claims Specialist is responsible for evaluating and approving claims related to workers' compensation benefits while also providing support for liability insurance claims.KEY RESPONSIBILITIES:Oversee the administration of workers' compensation claims.Maintain a comprehensive database of claims and generate summary...


  • Fort Wayne, Indiana, United States EPIC Brokers Full time

    Claims Management SpecialistLocation: Fort Wayne, IN The primary responsibility of this role is to oversee the administration of Specific and Aggregate claim submissions, along with tracking reimbursements as funds are received. This position involves identifying participants in Large Case Management and submitting referrals to designated external...


  • Fort Wayne, Indiana, United States EPIC Brokers Full time

    Claims Management SpecialistLocation: RemoteThe primary objective of this role is to oversee the administration of Specific and Aggregate claim submissions, along with tracking reimbursements as funds are processed. This position involves identifying participants in Large Case Management and directing referrals to appropriate external professionals....


  • Fort Wayne, Indiana, United States Brotherhood Mutual Full time

    Position Title: Senior Claims Specialist - PropertyJob Category: ClaimsJob Details:Overview:The Senior Claims Specialist is responsible for the thorough evaluation and resolution of complex claims in alignment with departmental standards and organizational goals.Key Responsibilities:Effectively manage serious and complex claims, including those with unique...


  • Fort Worth, Texas, United States Cook Children's Health Care System Full time

    Job Title: Insurance Claims SpecialistCook Children's Health Care System is seeking a highly skilled Insurance Claims Specialist to join our team. As an Insurance Claims Specialist, you will be responsible for managing and resolving insurance claims, ensuring timely and accurate reimbursement for our patients.Key Responsibilities:Manage and resolve insurance...


  • Fort Worth, Texas, United States Cook Children's Health Care System Full time

    Job Title: Insurance Claims SpecialistCook Children's Health Care System is seeking a highly skilled Insurance Claims Specialist to join our team. As a key member of our healthcare team, you will be responsible for ensuring timely and accurate reimbursement for our patients.Key Responsibilities:Follow-up on outstanding insurance claims to ensure timely...


  • Fort Worth, Texas, United States Cook Children's Health Care System Full time

    Job SummaryThe Insurance Follow-Up Specialist is responsible for managing outstanding claims for Cook Children's Physician Network providers. This role involves navigating payor websites, contacting claim representatives, and initiating appeals processes to ensure timely resolution of claims.Key ResponsibilitiesManage claims work queue to ensure timely...

  • Claims Adjuster II

    3 weeks ago


    Fort Wayne, Indiana, United States Brotherhood Mutual Full time

    Job SummaryWe are seeking a highly skilled Claims Adjuster II - Property Specialist to join our team at Brotherhood Mutual. As a key member of our Claims Department, you will be responsible for effectively analyzing and resolving assigned claims consistent with our company's standards and objectives.Key ResponsibilitiesResolve all assigned claims within...


  • Fort Worth, Texas, United States Cook Children's Health Care System Full time

    Job SummaryThe Insurance Follow-Up Specialist is responsible for managing outstanding claims for Cook Children's Physician Network providers. This role involves navigating payor websites, contacting claim representatives, and initiating appeals processes to ensure timely resolution of claims.Key ResponsibilitiesManage claims work queue to ensure timely...


  • Fort Wayne, Indiana, United States Brotherhood Mutual Full time

    Job Title: Claims Adjuster II - PropertyJob Category: ClaimsRequisition Number: CLAIM001315Location: Fort Wayne, IN (non-remote)JOB SUMMARYThe Claims Adjuster II is responsible for the thorough analysis and resolution of assigned claims in alignment with the standards of the Claims Department and the objectives of the company.POSITION ESSENTIAL FUNCTIONS AND...


  • Fort Worth, Texas, United States Cook Children's Health Care System Full time

    Job SummaryCook Children's Health Care System is seeking a highly skilled Insurance Claims Specialist II to join our team. As a key member of our insurance follow-up team, you will be responsible for ensuring timely and accurate reimbursement for our patients.Key ResponsibilitiesFollow up on outstanding insurance claims to ensure timely resolution and...


  • Fort Wayne, Indiana, United States Brotherhood Mutual Full time

    Job Title: Claims Adjuster II - PropertyJob Category: ClaimsRequisition Number: CLAIM001315Location: Fort Wayne, IN (non-remote)JOB SUMMARYThe Claims Adjuster II is responsible for the thorough analysis and resolution of assigned claims in alignment with the standards of the Claims Department and the objectives of the company.POSITION ESSENTIAL FUNCTIONS AND...

  • Claims Specialist

    19 hours ago


    Fort Lauderdale, Florida, United States SIXT USA Full time

    Job Title: Claims SpecialistWe are seeking a highly skilled Claims Specialist to join our dynamic Claims Department at SIXT USA. As a Claims Specialist, you will be responsible for overseeing all at-fault claims and acting as the initial point of contact for calls to the Claims Department.Key Responsibilities:Gather necessary information to resolve claims...


  • Fort Worth, Texas, United States Cook Children's Health Care System Full time

    Job SummaryCook Children's Health Care System is seeking a highly skilled Insurance Claims Specialist II to join our team. This role is responsible for managing all insurance follow-up responsibilities for Cook Children's Physician Network.Key ResponsibilitiesFollow-up, analysis, and resolution of outstanding insurance claimsInitiation of the appeals process...

  • Claims Adjuster

    2 weeks ago


    Fort Lauderdale, Florida, United States City of Fort Lauderdale, FL Full time

    Job Title: Claims Adjuster - Liability Claims SpecialistJoin the City of Fort Lauderdale, FL as a Claims Adjuster - Liability Claims Specialist and play a crucial role in investigating and resolving liability claims against the City.Job Summary:The Claims Adjuster - Liability Claims Specialist will be responsible for investigating claims, collecting data,...


  • Fort Wayne, Indiana, United States Brotherhood Mutual Full time

    Job Title: Sr Claims Adjuster - PropertyJob Summary:We are seeking a highly skilled Sr Claims Adjuster - Property to join our team at Brotherhood Mutual Insurance Company. As a key member of our claims department, you will be responsible for effectively analyzing and resolving assigned serious/complex claims consistent with claims department standards and...

  • Claims Processor

    3 weeks ago


    Fort Wayne, United States Brotherhood Mutual Full time

    Job Title: Claims Processor - Work Comp FLSA Status: Non-Exempt Job Family: Claims - Work Comp Department: Claims - Work Comp Location: Corporate Office (Fort Wayne, IN) JOB SUMMARY Responsible for effectively analyzing, verifying, authorizing, and resolving claim tasks and diaries and assisting the workers’ compensation adjusters and...


  • Fort Wayne, Indiana, United States Companalyst Full time

    Job SummaryWe are seeking a highly skilled and detail-oriented Claims Adjuster Trainee to join our team at Companalyst. As a Claims Adjuster Trainee, you will be responsible for resolving insurance claims efficiently and effectively, while providing excellent customer service.Key ResponsibilitiesDetermine coverage and liability for insurance claimsInterview...