Insurance Follow Up Specialist - Dallas-Fort Worth, Tx
Job Description
Job Type: Full time, M-F
Location: Remote
Salary: $20-$25/hr (depending on experience)
About the Company
Mindful Therapy Group is a company dedicated to empowering therapists, psychologists and nurse practitioners to dive into private practice, without doing all of the leg work that comes with it. We provide high-quality billing, marketing, and administrative services to independent mental health care providers. Since opening in 2011, we have partnered with over 2,300 providers throughout our 25+ locations, and we are continuing to grow!
About the Role
We are seeking an experienced claim specialist to independently resolve complex outstanding insurance balances, denials, and claim-processing issues across commercial, Medicare, and Medicaid payers.
This is not an entry-level billing or payment-posting role. The ideal candidate has at least two years of hands-on insurance A/R follow-up and claim-resolution experience, including direct payer outreach, portal-based research, denial management, corrected claims, reconsiderations, appeals, and escalation of recurring payer or workflow issues. They are comfortable taking ownership of a claim from initial denial or nonpayment through final resolution.
We are especially interested in candidates with substantial experience working Washington Medicaid claims, eligibility, authorization-related denials, managed-care plans, and state-specific billing or reimbursement requirements.
Responsibilities include:
- Independently work outstanding insurance A/R, with a focus on denied, rejected, and aged claims, including balances aged 120+ days.
- Analyze denial reason codes, payer correspondence, eligibility and benefits information, authorization requirements, coding or claim-edit issues, and filing-limit concerns to determine the appropriate next action.
- Submit and track corrected claims, reprocessed claims, reconsiderations, appeals, medical-record submissions, and other payer-required documentation.
- Navigate commercial payer portals and communicate directly with payer representatives to obtain claim status, denial details, payment information, and resolution commitments.
- Communicate claim status, documentation needs, and action items to providers and internal partners in a clear, professional, solutions-focused manner.
- Post insurance payments and adjustments accurately when assigned, including ensuring payment activity aligns with remittance advice and claim-resolution outcomes.
- Maintain thorough, actionable documentation in the EHR (AdvancedMD) and related tracking tools so other team members can easily understand the claim history and next steps.
Qualifications:
- At least 2 years of direct medical insurance A/R follow-up and claim-resolution experience in a healthcare billing environment.
- Hands-on experience working commercial insurance, Medicare, Medicaid, and managed Medicaid claims.
- Strong written and verbal communication skills, with the ability to communicate professionally and effectively with payer representatives, providers, managers, and internal teams.
- Experience working in an EHR or practice-management system, payer portals, clearinghouse tools, Microsoft Excel, and Outlook.
- Strong attention to detail, organization, follow-through, and documentation habits.
Preferred Qualifications:
- Behavioral health billing and insurance A/R experience.
- Experience with AdvancedMD or a similar behavioral health EHR/practice-management platform.
- Experience with payer portals for regional and national commercial payers, including Blue Cross Blue Shield plans, Aetna, Cigna, Optum/UnitedHealthcare, Medicare contractors, and Medicaid managed-care organizations.
- Experience working with Apple computers and macOS.
