Overview
Insurance A/R Follow up Specialist Jobs in Kenya at Remote Raven
Title: Insurance A/R Follow up Specialist
Company: Remote Raven
Location: Kenya
Our client is a US-based outpatient healthcare provider with an established in-house medical billing team. As their dedicated Insurance Follow-Up / Accounts Receivable (A/R) Caller, you will own the outbound payer-calling function that keeps revenue moving: contacting US insurance carriers to follow up on outstanding, unpaid, and underpaid claims, resolving denials, and driving aging accounts to closure.
This is a high-volume, phone-first revenue cycle management (RCM) role. The majority of each workday is spent speaking with insurance representatives — navigating payer phone systems and hold queues, checking claim status, identifying denial reason codes, requesting reprocessing and reconsideration, and documenting every outcome in the billing system. You will work closely with the billing manager and existing billing team, who handle appeals, resubmissions, and patient billing based on the findings you surface. If you are persistent, organized, and fluent in how US insurance claims adjudicate, you will thrive here.
Responsibilities
Insurance follow-up (primary function)
- Make high-volume outbound calls to insurance carriers on outstanding, unpaid, and underpaid claims
- Check claim status on aging accounts and document outcomes accurately after each call
- Identify the reason for non-payment — processing delays, missing information, denials, or payer-side errors — and take the appropriate next step
- Request claim reprocessing, corrections, or reconsideration directly with insurance representatives
- Navigate payer phone systems, hold queues, and representatives professionally and persistently
- Escalate complex or unresolvable accounts to the billing team with full call-history documentation
Denial identification & resolution support
- Identify and clearly document denial reason codes for each affected claim
- Gather payer information needed to resolve denials — missing documentation, coordination of benefits (COB), or eligibility discrepancies
- Communicate denial findings to the billing team for resubmission, appeal, or patient billing
- Track recurring denial patterns and report trends to the billing manager
A/R tracking & documentation
- Maintain accurate, up-to-date call logs for every interaction — payer responses, reference numbers, representative names, and promised payment dates
- Update claim statuses in the billing system in real time
- Work assigned aging buckets systematically, prioritizing by dollar amount, payer deadline, and days outstanding
- Monitor promised payment timelines and re-engage payers when commitments are unmet
Collaboration with the billing team
- Work with the billing team to understand claim priorities and accounts needing immediate attention
- Communicate daily progress and flag accounts requiring billing-team action
- Provide the billing manager with regular updates on call volume, outcomes, and payer issues
Requirements
- Prior hands-on experience making insurance follow-up calls in a US medical billing or healthcare revenue cycle setting (hard requirement)
- Comfort making a high volume of outbound calls to insurance companies daily
- Working familiarity with common denial reason codes (CO/PR), payer responses, and insurance claim adjudication
- Professional, persistent phone presence — patient with hold times, clear with representatives, and focused on an actionable answer
- Strong documentation habits — every call logged completely before moving on
- Reliable high-speed home internet, a quiet call environment, and a working headset
- Full-time availability with daily overlap into US Mountain Time hours
Nice to Have
- Experience with US clearinghouses or payer portals (e.g., Availity)
- Familiarity with outpatient therapy or other specialty-practice claims
- Exposure to a cloud-based practice management / EHR billing system
What We Offer
- Up to $6/hour
- 100% remote work
- Full-time role
To apply: Ensure your LinkedIn profile and resume are up-to-date and comprehensive, and complete the assessment in this link: [https://assessment.aptiveindex.com/s/USS0YYsi06V7]
By applying, you consent to being contacted via the contact information provided in your application for recruitment purposes only.
Initial calls run on US Mountain Time Arizona MST), within a 3:00 AM – 1:00 PM MST window. We genuinely appreciate applicants' flexibility around the time difference.
