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Claims Follow Up Jobs (NOW HIRING)

UNC HEALTH

Revenue Cycle Representative

Chapel Hill, NC · On-site

$18.12 - $25.51/hr

Maintains A/R at acceptable aging levels by prompt follow-up of denied claims. Performs all duties in a manner which promotes teamwork and reflects UNC Health Care's mission and philosophy. This ...

MERCY HEALTH SERVICES INC

Billing Specialist

Smyrna, TN · On-site

$18 - $24.25/hr

The Billing Specialist works on and tracks AR, and claims follow up with third party payors to ensure all transactions are managed properly. This position frequently speaks with payers over the phone ...

Mercy Health

Billing Specialist

Smyrna, TN · On-site

$18 - $24.25/hr

The Billing Specialist works on and tracks AR, and claims follow up with third party payors to ensure all transactions are managed properly. This position frequently speaks with payers over the phone ...

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How much do claims follow up jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for claims follow up in the United States is $21.05, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $22.84 per hour, depending on experience, location, and employer.

What is a claims follow up specialist?

Claims Follow Up specialists are professionals who track and manage insurance claims to ensure they are processed, paid, or resolved in a timely manner. They communicate with insurance companies, healthcare providers, and patients to resolve issues related to denied or delayed claims. Their work helps organizations secure proper reimbursement and maintain accurate billing records. Effective claims follow-up helps reduce outstanding accounts receivable and improves cash flow for healthcare providers or businesses.

What are the key skills and qualifications needed to thrive as a claims follow up specialist?

To excel as a Claims Follow Up Specialist, you need a solid understanding of medical billing, insurance processes, and claims management, often supported by experience in healthcare administration or a related field. Familiarity with claims management software, electronic health records (EHRs), and payer portals is typically required. Attention to detail, persistence, and effective communication skills are crucial for resolving claim issues and negotiating with payers. These skills ensure timely reimbursement, reduce denials, and support the financial health of healthcare organizations.

What are some common challenges faced in a claims follow up role, and how can they be managed effectively?

Claims Follow Up professionals often encounter challenges such as delayed responses from insurance providers, complex claim denials, and navigating varying payer requirements. To manage these effectively, it’s important to maintain organized records, stay updated on insurance policies, and communicate proactively with both providers and payers. Building strong relationships with colleagues in billing and reimbursement teams can also help resolve issues efficiently and ensure timely claim resolution.

What is the difference between Claims Follow Up vs Claims Processing Specialist?

AspectClaims Follow UpClaims Processing Specialist
CredentialsInsurance knowledge, basic certificationsInsurance licenses, certifications often preferred
Work EnvironmentOffice, remote, or claims departmentOffice, claims department, sometimes remote
Employer & IndustryInsurance companies, third-party administratorsInsurance companies, healthcare providers
Primary FocusFollowing up on unpaid or delayed claimsProcessing new claims from submission to approval

Claims Follow Up specialists focus on tracking and resolving unpaid or delayed claims, ensuring timely payments. In contrast, Claims Processing Specialists handle the initial review and processing of claims. Both roles require insurance knowledge but differ in their stage of claims management and daily tasks.

More about Claims Follow Up jobs

What states have the most Claims Follow Up jobs?

States with the most job openings for Claims Follow Up jobs include:

What are popular job titles related to Claims Follow Up jobs?

For Claims Follow Up jobs, the most frequently searched job titles are:

Claims Follow Up jobs near you
Infographic showing various Claims Follow Up job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, 2% Contract, and 1% Nights. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $43,783 per year, or $21 per hour.

Claims Specialist- Journal Center, (784)

Albuquerque, NM • On-site

TriCore Reference Laboratories
Health Care and Social Assistance • 1 - 5K employees
Learn more about TriCore Reference Laboratoriesexternal

Full-time

Re-posted 8 days ago

Job description

Schedule: Monday-Friday 8:00 AM-5:00PM and other shifts as needed.

Location: Business Office

Salary/Hourly: Hourly Position

JOB SUMMARY:

Responsible for collecting accounts receivables on patient accounts, non-government and contracted insurances government payers and secondary billing. Responsibilities include routine follow-up on accounts, working the Rejection Report for contracted insurances, analyzing aged trial balance report for assigned charge to's, working the Antrim, Rhodes reports and miscellaneous accounts receivable reports.

ESSENTIAL FUNCTIONS:

1. Collects outstanding accounts receivables on patient accounts from patient, commercial, non-government, contracted insurances or government payors via phone call to the patient or insurance company or by means of written appeal or reconsideration.

2. Pursues collection activities on assigned accounts from primary and secondary payors until worked to resolution to include claims resubmission, appeal or reconsideration.

3. Works account receivables reports (i.e. aged-trial-balance report), focusing attention on accounts over 60 days.

4. Researches adjustments and pull all necessary backup to support adjustments.

5. Utilizes on-line insurance resources to obtain and maintain current information.

6. Develops and maintains a professional working rapport with internal and external customers to include contacts with insurance company representatives.

7. Identifies trends in payment or non-payment of claims. Communicates findings to leadership and co-workers as appropriate.

8. Customizes reports in Antrim and or Excel to prioritize accounts for collecting.

The above statements describe the general nature and level of work being performed by individuals assigned to this classification. This is not intended to be an exhaustive list of all responsibilities and duties required of personnel so classified.

MINIMUM EDUCATION:

High school diploma or equivalent

MINIMUM EXPERIENCE:

Must have one of the following:

Six (6) months as an Apprentice in the Business Office at TriCore

Minimum of one (1) year of laboratory or medical claims follow-up/collections experience

Minimum of three (3) years of medical billing or claims processing experience

OTHER REQUIREMENTS:

Must be able to type 30 words per minute (typing test required)

Must have basic PC knowledge and working expertise with keyboard, mouse, Internet, and Windows based applications

PREFERENCES: Basic knowledge of Excel and Word Knowledge of medical terminology

IMMUNIZATION REQUIREMENTS: Prove immunity to Hepatitis B or be immunized or sign a waiver refusing hepatitis immunization. Provide documentation of a PPD test conducted not more than 90 days prior to date of hire or have a PPD test conducted.

GENERAL REQUIREMENTS:

1. Proficient in PC/data entry skills

2. Must be able to work independently with little direction and to demonstrate sound judgment and problem solving skills

3. Ability to resolve problems and follow up as needed or appropriate

4. Effective communication skills and telephone skills

5. Ability to deal with difficult clients and patients

6. Strong working knowledge of insurance and reimbursement

Apply