Job Description

Insurance, Provider & Patient Follow-Up Specialist
(Confidential Healthcare Organization)
Full-Time | Remote
Role Overview
We are seeking a highly driven Insurance, Provider & Patient Follow-Up Specialist to support critical outbound workflows that directly impact patient access to care and revenue collection.
This role is responsible for proactively following up with insurance companies, medical providers, and patients to move authorizations, claims, and payments to resolution. You will navigate complex insurance processes, track down required clinical documentation, resolve denied claims, and communicate clearly with patients regarding financial responsibility.
This position is ideal for someone who is persistent, detail-oriented, and comfortable operating in fast-moving, sometimes fragmented healthcare systems.
Key Responsibilities
Insurance & Authorization Follow-Up
Proactively contact insurance carriers to expedite prior authorizations and approval timelines
Track authorization status and follow up persistently until resolution
Provider & Documentation Coordination
Follow up with physician offices to obtain prescriptions, clinical notes, Letters of Medical Necessity (LMNs), and corrected or missing documentation
Identify gaps or errors in submitted documentation and coordinate corrections
Claims & Denial Resolution
Monitor denied and pending insurance claims
Identify root causes of denials and pursue reprocessing or appeals to drive payment
Maintain ownership of claims through final resolution
Patient Financial Follow-Up
Contact patients to review and collect co-insurance, deductibles, or outstanding patient responsibility balances
Confirm payment status and provide clear, professional communication
Documentation & Systems
Accurately document all outreach, conversations, and outcomes in internal systems
Maintain clear records to support audits, escalations, and downstream teams
What Success Looks Like
Faster insurance authorization turnaround times
Fewer claims stuck in denied or pending status
Increased claim and patient payment resolution rates
Consistent, accurate documentation across all follow-up activity
Improved patient experience through clear and professional communication
Background & Experience (Nice to Have, Not Required)
Experience in healthcare operations, medical billing, insurance follow-up, or revenue cycle management
Familiarity with prior authorizations, insurance denials, and appeals processes
Experience in DME, provider offices, or billing environments is a plus
Skills & Working Style
Persistent, professional, and comfortable with frequent outbound phone communication
Resourceful and confident navigating insurance phone trees and provider office workflows
Strong problem-solving skills and ability to identify the right decision-maker
Highly organized with the ability to manage multiple open follow-ups simultaneously
Calm and effective when handling friction, delays, or incomplete information
Work Environment
Full-time, remote position
Heavy phone-based role with consistent outbound communication
Direct, measurable impact on patient access, satisfaction, and company revenue

Skills Required