Robert Half is seeking a detail-oriented and highly organized individual to join our client's team as a Medical Insurance Claims Follow Up Specialist. In this role, you will be responsible for ensuring timely and accurate follow-up on medical insurance claims to maximize reimbursement for healthcare services provided. The ideal candidate will have a strong understanding of medical billing and coding processes, excellent communication skills, and a proactive approach to resolving claim issues.Responsibilities:Claims Follow-Up: Conduct thorough follow-up on outstanding medical insurance claims to identify and resolve issues causing delays in payment.Claim Denial Management: Investigate and analyze claim denials to determine root causes, including coding errors, eligibility issues, and billing discrepancies. Take appropriate action to appeal denials and resubmit claims for reconsideration.Communication: Maintain regular communication with insurance companies, healthcare providers, and internal stakeholders to expedite claim resolution. Provide updates on claim status and escalate issues as needed.Documentation: Ensure accurate and complete documentation of all claim follow-up activities, including correspondence with payers, payment histories, and resolution outcomes.Revenue Optimization: Identify opportunities to improve the efficiency of the claims follow-up process and enhance revenue cycle performance. Collaborate with the billing team to implement best practices and streamline workflows.Compliance: Stay informed about changes in insurance regulations, billing guidelines, and coding requirements to ensure compliance with industry standards and minimize claim rejections.Quality Assurance: Perform regular audits of claim submissions and follow-up activities to maintain the accuracy and integrity of the billing process. Identify trends and patterns in claim denials for further analysis and process improvement.Qualifications:Previous experience in medical billing, claims processing, or revenue cycle management required.Proficiency in medical terminology, ICD-10, CPT, and HCPCS coding systems.Strong analytical skills with the ability to identify and resolve claim issues efficiently.Excellent communication and interpersonal skills, with the ability to interact effectively with insurance companies, healthcare providers, and team members.Detail-oriented mindset with a focus on accuracy and precision in claim documentation and follow-up activities.Knowledge of insurance payer policies, reimbursement methodologies, and claim adjudication processes.Familiarity with electronic health record (EHR) systems and billing software platforms.Ability to prioritize tasks and manage multiple deadlines in a fast-paced environment.Commitment to maintaining patient confidentiality and adhering to ethical standards in healthcare billing practices.Apply today to play a crucial role in ensuring the financial health of a busy healthcare organization while supporting the delivery of quality healthcare services to patients.