Insurance Eligibility & Follow-Up Specialist (Remote)

Are you experienced in insurance verification, claim follow-up, and resolving payer issues? Do you thrive in fast-paced healthcare environments where attention to detail matters? Join GetixHealth as an Insurance Eligibility & Follow-Up Specialist and help ensure patients receive the coverage and care they need. This role combines front-end insurance eligibility verification with back-end insurance follow-up responsibilities—helping reduce denials, improve reimbursement, and support a seamless patient financial experience from start to finish. - Position: Full- Time Potential Start Date: 5/26/2026 Location: Remote (Must pass an internet speed test/ we provide the equipment) Compensation: $16- $18 per hour (based on experience) + quarterly bonus eligibility Operational Hours: Operational hours: Monday–Friday, 10:00 AM – 10:00 PM EST (Must be flexible within business hours) - Position Requirements: The Insurance Eligibility & Follow-Up Specialist is responsible for verifying patient insurance coverage prior to service, tracking outstanding insurance claims, resolving denials, and ensuring timely reimbursement from insurance carriers. You’ll work closely with insurance companies, providers, patients, and internal teams to support both eligibility verification and accounts receivable follow-up functions. Strong knowledge of insurance plans, claims management, and revenue cycle processes is essential. Position Responsibilities:

• Follow-up with insurance companies on billed claims regarding claim status and resolution of payments in a timely manner.
• Verify patient insurance eligibility and benefits prior to scheduled services
• Confirm active coverage, copays, deductibles, coinsurance, and patient responsibility estimates
• Identify prior authorization requirements and escalate when needed
• Track outstanding insurance claims (Accounts Receivable / AR)
• Contact insurance companies by phone, payer portals, or email to check claim status
• Investigate denials, underpayments, rejections, and missing claim information
• Correct claim issues and resubmit claims when necessary
• Document all account activity and insurance updates accurately in the billing system
• Escalate complex or long-pending claims to supervisors or billing leadership
• Collaborate with scheduling, billing, and provider teams to prevent delays and claim denials
• Maintain compliance with HIPAA, payer guidelines, and internal policies
• Meet productivity, quality, and turnaround expectations in a high-volume environment
• Other duties as assigned
• *

Pay Range: $18 -$20 based on experience

* Qualifications:

• High school diploma or GED required
• Bachelor’s degree preferred
• 2+ years of experience in insurance follow-up, eligibility verification, medical billing, or healthcare revenue cycle operations preferred
• Experience with AR follow-up, claims resolution, and payer portals required
• Experience working with Medicare, Medicaid, and commercial insurance plans preferred
• Strong understanding of insurance benefits, authorizations, and denial resolution
• Prior remote work experience preferred
• Strong verbal and written communication skills
• Proficiency in Microsoft Office and healthcare systems
• Experience with EHR systems and billing platforms preferredMust be able to type a minimum of 35 words per minute (WPM) with no more than 3 errors. A typing assessment will be administered during the interview process.

Work Environment:

• Remote position requiring high-speed internet and a secure HIPAA-compliant workspace
• Prolonged sitting and regular computer use required
• Exposure to sensitive and confidential patient information
• Occasional overtime may be required based on workload and business demands

Benefits:

• Comprehensive Health Coverage: Group medical, dental, and vision plans available from the first day of the month following 90 days of full-time employment.
• Life and Disability Insurance: Basic life/AD&D, short-term, and long-term disability coverage provided, with options for voluntary life/AD&D.
• 401(k) Retirement Savings Plan: Eligible to participate in the company’s 401(k) plan at the beginning of the first calendar quarter following 6 months of continuous service.
• Paid Time Off (PTO): Accrue Paid Time Off starting on your first day of employment.
• Flexibility in Benefits: The company reserves the right to amend, modify, or terminate any benefits programs as needed.

Note: This job description outlines the primary duties and qualifications for the role. It is not intended to be an exhaustive list of responsibilities or working conditions. GetixHealth is an Equal Opportunity and E-Verify Employer! Experience Preferred

• 1 year(s): Healthcare Insurance clamim follow-up experience

Education Required

• High School or better

Behaviors Required

• Team Player: Works well as a member of a group
• Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
• Dedicated: Devoted to a task or purpose with loyalty or integrity

Motivations Required

• Goal Completion: Inspired to perform well by the completion of tasks
• Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization

Preferred

• Self-Starter: Inspired to perform without outside help

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.