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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

$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 ...

Healthcare Support Staffing

AR / Collection Rep

Frisco, TX

$16 - $20.50/hr

Depending on the transmission type and length of time since submission we begin our follow-up: Electronic Claims: Follow-Up begins 10+ days after submission Paper/HCFA Claims: Follow-Up begins 20-45 ...

Medix

Claims Intake Specialist

Addison, TX · On-site

$20 - $25/hr

Aged Claims & Follow-up: Monitor claim workflows, tracking pending submissions and investigating denied claims for resolution. * Professional Communication: Act as a liaison between healthcare ...

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Claims Follow Up information

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How much do claims follow up jobs pay per hour?

As of Aug 13, 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 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 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 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 job categories do people searching Claims Follow Up jobs look for?

The top searched job categories for Claims Follow Up jobs are:

Claims Follow Up jobs near you
Infographic showing various Claims Follow Up job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, 2% Contract, and 1% Nights. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $43,783 per year, or $21 per hour.

Claims Submission Rep

Children's Wisconsin

West Allis, WI

Full-time

Re-posted 8 days ago

Children's Wisconsin rating

7.6

Company rating: 7.6 out of 10

Based on 66 frontline employees who took The Breakroom Quiz

257th of 1,059 rated hospitals

Job description

At Children's Wisconsin, we believe kids deserve the best.

Children's Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. Our reputation draws patients and families from around the country.

We offer a wide variety of rewarding career opportunities and are seeking individuals dedicated to helping us achieve our vision of the healthiest kids in the country. If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day, please apply today.

Please follow this link for a closer look at what it's like to work at Children's Wisconsin:https://www.instagram.com/lifeatcw/

Job Summary:
Responsibility for the submission of all paper and electronic claims. This will include primary, secondary, and specialty claims. Will have assigned work-queues to correct billing, charging, and registration edits.
Essential Functions:

  • Facilitates the daily submission of electronic claims to the clearinghouse. Along with the Lead, participates in the claims reconciliation process.
  • Works assigned work-queues to correct billing, charging, and registration edits.
  • Calculates and applies appropriate contractual discounts at the time of billing.
  • Utilizes payer websites and electronic eligibility clearinghouses to verify the accuracy of patient insurance information.
  • Utilizes payer websites for direct claim entry when necessary.
  • Submits secondary claims to payers according to department policy and procedure and payer guidelines and requirements.


Education:

  • High School graduate or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED) required


Experience:

  • 2+ years experience of billing and/or claims follow up , HCFAs and/or UB-04's (preferably in a hospital setting) including insurance reimbursement procedures and comprehension of insurance EOB's required
  • General pediatric and/or pediatric subspecialty experience preferred
  • Prior EPIC, QSI or IDX experience is strongly preferred


Knowledge, Skills and Abilities:

  • Working knowledge of medical terminology, ICD-9, CPT and HCPCS level II codes.
  • Excellent verbal and written communication skills. Bilingual skills a plus.
  • Strong analytical skills and ability to perform noncomplex arithmetic calculations when determining contractual allowances.
  • Ability to work independently with minimal supervision.
  • Proficient in Microsoft Office applications and technology skills required to perform duties.
  • The ability to multi-task and function effectively in a team environment and maintain successful relationships with coworkers, patients, physicians, management, staff, and other customers.


Required for All Jobs:

  • This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that may be requested in the performance of this job.
  • Employment is at-will. This document does not create an employment contract, implied or otherwise.

Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.

Certifications/Licenses:

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