Insurance Follow Up Specialist

Are you a detail-oriented professional with a passion for ensuring accurate and timely insurance reimbursement? Do you thrive in a fast-paced healthcare environment where problem-solving and follow-up are key to success? If so, we have an exciting opportunity for you!

LaSalle Network is partnering with a leading healthcare organization in Milwaukee, WI, seeking an experienced Insurance Follow-Up Specialist with Epic EMR expertise. This role is critical in managing the claims process, resolving outstanding accounts, and ensuring optimal reimbursement from insurance payers.

Insurance Follow-Up Specialist Responsibilities:

• Proactively manage insurance claims, ensuring accurate and timely billing, follow-up, and resolution
• Investigate and resolve denied, delayed, or underpaid claims, working directly with insurance providers
• Verify insurance eligibility and coverage details using Epic EMR, ensuring accurate claim submissions
• Identify and appeal claim rejections and denials, collaborating with internal teams to address discrepancies
• Process payment postings, adjustments, and reconciliations to maintain account accuracy
• Communicate with insurance companies, patients, and internal stakeholders regarding claim statuses and outstanding balances
• Maintain strict compliance with HIPAA, federal/state regulations, and payer-specific guidelines
• Generate and analyze reports to identify trends, bottlenecks, and process improvement opportunities
  
  

Insurance Follow-Up Specialist Requirements:

• 2 years of experience in medical billing, insurance claims processing, or accounts receivable
• Epic EMR experience is required – ability to navigate and leverage the system effectively
• Strong knowledge of CPT, ICD-10, and HCPCS coding and insurance reimbursement methodologies
• Familiarity with Medicare, Medicaid, and commercial insurance billing policies
• Excellent analytical and problem-solving skills with a keen eye for detail
• Ability to work in a fast-paced, deadline-driven environment, managing multiple priorities effectively
• Strong verbal and written communication skills to collaborate with internal teams and external payers
  
  

If you are an experienced Insurance Follow-Up Specialist with Epic EMR skills and a strong understanding of medical claims processing, we want to hear from you! Apply today to take the next step in your career.

Thank you,

Kyla Slayton

Project Manager – Healthcare Revenue Cycle

LaSalle Network