AR / Insurance Follow-Up Specialist
- Work
- Insurance receivables specialist investigating unpaid claims through payer portals, submission records, account notes, corrections, and appeals
Healthcare Headhunters recruits healthcare professionals for employers. No upfront fee. You pay only if you hire.
This is what we do all day: recruit healthcare professionals.
Hiring across medical coding, billing and patient financial services starts with deciding where account work breaks down and who should own it.
No upfront fee. You pay only if you hire.
18 positions
18 matching positions
Healthcare Headhunters recruits for permanent positions across this family. We help you separate coding accuracy, claim submission, payer follow-up and patient account responsibilities before reviewing candidates. A person who resolves rejected claims may not have experience assigning codes from clinical documentation.
A strong coder may never have discussed an unpaid balance with a patient.
Coding work turns documented services into codes used for claims and reporting. Hospital inpatient coding differs from outpatient and professional coding in record review and coding conventions. Ask which account types the employee will handle, not simply whether they know your software.
Patient financial services can include insurance verification, estimates, financial counseling, account questions and collections. Supervisory positions add assignments, quality review and escalation decisions. If one position combines these duties, specify the daily split and decision authority. Otherwise, you may select someone for coding knowledge while expecting most of their day to involve payer calls.
Coding scope: Ask, “Which services did you code, and how did you handle documentation that did not support a code?” Useful answers identify the setting, code sets, query route and review process without treating an unsupported assumption as documentation. Claim edits: Ask, “Describe how you investigated a rejected claim before resubmitting it.”
We look at candidates from hospital business offices, physician practices, outpatient centers, centralized billing departments and revenue cycle service organizations. Their backgrounds can differ sharply. Someone handling professional claims may know payer edits well but need training in hospital account structures.
A candidate from a service organization may have worked only one narrow account queue.
Possible reasons for moving include a different service mix, clearer account ownership, a shorter commute or more direct supervisory responsibility. We ask what the candidate wants to change and compare that with your actual work. Someone seeking fewer patient calls would be a poor match for a position centered on balance discussions.
Avoid combining coding, authorization follow-up and collections without defining ownership. State who answers documentation questions and who contacts payers when an account crosses teams. Do not treat a coding certificate as proof of experience in every setting. Check the credential and examine the candidate’s recent inpatient, outpatient or professional coding work.
Do not measure only account volume. Ask how candidates documented corrections, handled aging accounts and avoided closing work that still needed investigation.
Tell us your service mix, account types, systems and reporting line. We screen credentials, work history and fit through task-specific questions. Compare shortlisted candidates against the account work you assigned to this position. Use a sample documentation gap, rejected claim or disputed patient balance to assess their reasoning.
Identify the tasks this hire owns and those handled elsewhere, including appeals, patient contact and coding review.
You review examples or assessments suited to your records and complete your own credentialing and assessment of technical judgment.
Ask what they would resolve themselves, what they would refer and how they would record the next action. No upfront fee. You pay only if you hire. We offer a candidate replacement guarantee on standard search agreements. The applicable period and exact terms are set out in the signed client recruiting agreement.
That can work when the service scope is clear and the workload leaves time for both. Describe who resolves documentation gaps and who handles claim follow-up before combining them. Billing work follows the claim through edits, submission, payment posting and follow-up.
No certification should be assumed necessary for every billing assignment. Match any credential preference to the actual coding duties and your hiring standards.
Compare claim types, payer follow-up and account ownership. Ask candidates to explain what they handled themselves versus what another department resolved.
Test account explanation, insurance questions and escalation judgment. A hypothetical disputed balance reveals whether the candidate reviews facts before discussing payment.
Look for assignment decisions, quality review and coaching examples. Resolving difficult accounts alone does not show experience directing other employees.
Send us the role, where the person will work and what needs to change with this hire. We will ask about the work, not just the title. Share any license or schedule limits that could rule someone out before we begin the search.
Tell us which accounts need attention and where responsibility should sit. We can help define the position before you compare candidates.
Medical Coding, Billing & Patient Financial Services hub