Insurance Eligibility (Remote)

Job DetailsDescriptionAre 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- TimePotential Start Date: 5/26/2026Location: Remote (Must pass an internet speed test/ we provide the equipment)Compensation: $18- $20 per hour (based on experience) + quarterly bonus eligibilityOperational Hours: Operational hours: Monday–Friday, 10:00 AM – 10:00 PM EST (Must be flexible within business hours)Position RequirementsThe 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 ResponsibilitiesFollow-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 servicesConfirm active coverage, copays, deductibles, coinsurance, and patient responsibility estimatesIdentify prior authorization requirements and escalate when neededTrack outstanding insurance claims (Accounts Receivable / AR)Contact insurance companies by phone, payer portals, or email to check claim statusInvestigate denials, underpayments, rejections, and missing claim informationCorrect claim issues and resubmit claims when necessaryDocument all account activity and insurance updates accurately in the billing systemEscalate complex or long-pending claims to supervisors or billing leadershipCollaborate with scheduling, billing, and provider teams to prevent delays and claim denialsMaintain compliance with HIPAA, payer guidelines, and internal policiesMeet productivity, quality, and turnaround expectations in a high-volume environmentOther duties as assigned*** Pay Range: $18 -$20 based on experience***QualificationsHigh school diploma or GED requiredBachelor’s degree preferred2+ years of experience in insurance follow-up, eligibility verification, medical billing, or healthcare revenue cycle operations preferredExperience with AR follow-up, claims resolution, and payer portals requiredExperience working with Medicare, Medicaid, and commercial insurance plans preferredStrong understanding of insurance benefits, authorizations, and denial resolutionPrior remote work experience preferredStrong verbal and written communication skillsProficiency in Microsoft Office and healthcare systemsExperience 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 EnvironmentRemote position requiring high-speed internet and a secure HIPAA-compliant workspaceProlonged sitting and regular computer use requiredExposure to sensitive and confidential patient informationOccasional overtime may be required based on workload and business demands BenefitsComprehensive 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!