DENIALS - RESOLUTION SPECIALIST

The Intersect Group

Columbus, GA

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JOB DETAILS

SKILLS

Claims Processing, Communication Skills, Customer Support/Service, Detail Oriented, Documentation, Health Insurance, Healthcare, Healthcare Providers, Healthcare Reimbursement, High School Diploma, Identify Issues, Insurance, Insurance Claims, Multitasking, Presentation/Verbal Skills, Problem Solving Skills, Process Improvement, Reimbursement, Team Player, Time Management, Work From Home, Writing Skills

LOCATION

Columbus, GA

POSTED

1 day ago

Company Overview
Our client is a leading healthcare services organization dedicated to helping providers navigate complex reimbursement processes and improve financial outcomes. By leveraging deep industry expertise and a commitment to accuracy, they partner with healthcare systems to ensure claims are managed efficiently and thoroughly. Their team-focused environment emphasizes collaboration, accountability, and delivering measurable results for their clients.

Role Summary
The Insurance Follow-Up Specialist plays a critical role in supporting the revenue cycle process by ensuring timely and accurate follow-up on insurance claims and appeals. This position directly contributes to maximizing reimbursement outcomes for healthcare providers.

In this role, you will work closely with appeals specialists and internal teams to track claim status, resolve issues, and provide detailed updates. You will engage with insurance carriers, utilize payer portals, and maintain accurate documentation to ensure progress across accounts while identifying opportunities for process improvement.

Key Responsibilities
Contact insurance carriers to follow up on claim and appeal status, ensuring timely movement through the claims process
Review payer portals and client systems to verify claim status and gather relevant updates
Document all interactions and findings accurately in internal systems
Collaborate with appeals specialists to support reimbursement efforts and resolve outstanding issues
Identify and escalate claim discrepancies or submission errors as needed
Assist with special projects and initiatives to support client needs
Maintain a high level of organization and attention to detail across multiple accounts

Key Requirements
1 to 3 years of experience in insurance follow up or healthcare revenue cycle preferred
High School Diploma or GED required, Bachelors degree preferred
Strong knowledge of healthcare insurance processes, claims, and appeals
Experience troubleshooting and resolving claim submission errors
Familiarity with payer portals and healthcare systems
Demonstrated attention to detail and ability to manage multiple priorities
Excellent written and verbal communication skills
Team oriented with strong problem solving skills and adaptability
Previous work from home experience preferred

About the Company

The Intersect Group

The Intersect Group is a different and better business partner. We create unparalleled value for our clients by combining industry-leading Consulting capabilities with comprehensive Staffing and recruitment services. Clients trust us to deliver results based on our deep expertise and proven resources within finance, accounting, and information technology. Through our flexible delivery approach, you get the right solution, at the right time to accelerate your success and achieve all of your mission-critical objectives.

COMPANY SIZE

500 to 999 employees

INDUSTRY

Staffing/Employment Agencies

FOUNDED

2006

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