Medical Billing & Insurance Follow-Up Specialist

Grow Your Staff is looking for a Medical Billing & RCM Specialist for a US-based healthcare revenue cycle management company. This is a full-time remote position.
The role will have excellent growth opportunities. You will be working directly with the team based in the USA.
Experience required: 2-5 years
Time: 5:30 pm - 2:30 am IST (Monday-Friday)
CTC: INR 6-10 LPA
Location: Remote
Type of employment: Full-time
Responsibilities:
Make outbound calls to US healthcare insurance companies to follow up on medical claims and resolve claim-related issues.
Contact insurance representatives through insurance helplines to check claim statuses and obtain updates on pending claims.
Investigate and clarify reasons for claim denials, rejections, delays, or underpayments.
Work with insurance representatives to understand the required actions and documentation needed to resolve claim issues.
Follow up on unpaid, delayed, or denied claims and ensure timely resolution.
Maintain accurate records and notes of insurance calls, claim statuses, denial reasons, and follow-up actions.
Coordinate with internal medical billing and RCM teams to provide updates and support the resolution of outstanding claims.
Identify recurring claim issues and communicate relevant findings to the team.
Ensure all follow-ups and claim-related activities are completed accurately and within the required timelines.
Maintain a strong understanding of US medical billing, insurance processes, and revenue cycle management workflows.
Qualifications:
2+ years of experience in US Medical Billing and Revenue Cycle Management (RCM).
Proven experience making outbound calls to US healthcare insurance companies for claim follow-ups and issue resolution.
Experience handling claim denials, rejections, pending claims, and unpaid claims.
Good understanding of US healthcare insurance, medical billing, and claim processes.
Strong verbal communication, problem-solving, and follow-up skills.
Highly organized, detail-oriented, and comfortable working independently in a remote environment.

Work arrangement
No