Insurance Accounts Receivable Follow-Up Specialist

Job Title: Insurance Accounts Receivable (AR) Follow-Up Specialist

Location: Fresno, CA (Hybrid)

Industry: Healthcare – Revenue Cycle Management

Pay: $23-$25/hour (based on experience)

Benefits: This position is eligible for medical, dental, vision, and 401(k).

About Our Client:

Addison Group is hiring on behalf of our client, a national healthcare organization that provides comprehensive oncology services. As the organization transitions revenue cycle operations back in-house, this is a great opportunity to join a team with growth potential, professional development, and career advancement.

Job Description:

The Insurance AR Follow-Up Specialist is responsible for resolving insurance claim denials, securing reimbursement, and ensuring accurate documentation in the billing system. This contract-to-hire position requires the ability to work independently in a fast-paced and hybrid-friendly environment, with expectations for productivity, accuracy, and communication with both payers and internal departments.

Key Responsibilities:

• Review and follow up on unpaid or denied insurance claims
• Submit appeals and resolve claim issues based on payer guidelines
• Interpret EOBs, policy coverage, and contract terms to determine liability
• Research CPT code denials against LCD/NCD requirements
• Maintain detailed records of follow-up actions and payer communications
• Collaborate with appeal teams and understand claim lifecycles (primary/secondary)
• Identify reimbursement trends and proactively flag delays or issues
• Handle inbound calls from patients and insurance carriers
• Utilize multiple billing and EMR systems, including GE Centricity, Epic, and OnCo
• Meet daily productivity goals (typically 50–100 claims per day)

Qualifications:

• Minimum 2 years of experience in insurance follow-up or medical billing
• Strong understanding of managed care plans, Medicare, and Medicaid
• Familiarity with IPA (Independent Practice Association) structures and contracts
• Proficiency in interpreting CPT/ICD/HCPCS codes and insurance policies
• Experience with California payers and Medicaid (Medi-Cal) is preferred
• Ability to work independently, stay organized, and self-motivate in a remote setting

Additional Details:

• Schedule: Flexible start (between 7:00 AM and 8:00 AM), standard shift 7:30 AM–4:30 PM
• Work Environment: Rotating hybrid/remote schedule - 4 days in-office/month
• Contract-to-Hire: 540 hours required before conversion consideration

Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran, in accordance with applicable federal, state, and local laws. Reasonable accommodation is available for qualified individuals with disabilities upon request.

IND 004-007