Medical Insurance Denials & Claims Follow-Up Specialist
Seeking a Medical Insurance Denials & Claims Follow-Up Specialist to review outstanding claims, investigate payment issues, and follow up with US insurance companies.
Can a South African apply?
This posting names South Africa itself. Here is the line, exactly as it appears on the employer’s own page:
Location: South Africa (Remote)
Quoted from the posting when we last checked it on 2026-09-27. Employers change eligibility without notice — the employer’s page is the authority, not this one.
What it pays
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The full posting
Reproduced from the employer’s own listing, unedited.
Read the posting in full · 335 words
Job Opening: Medical Insurance Denials & Claims follow-up Specialist
Location
South Africa (Remote)
Type
Full-Time, Work from Home
Hours
Monday to Friday9am- 5pm EST (US Hours)
Salary
South African Rand (ZAR)
We are seeking an organised, persistent, and detail-oriented Medical Insurance Denials & Claims Follow-Up Specialist to support a US-based healthcare operation.
The successful candidate will be responsible for reviewing outstanding insurance claims and denial reports, investigating payment issues, and following up with insurance companies until claims are resolved.
This role requires someone who takes ownership, follows through consistently, and is comfortable dealing with insurance providers to resolve outstanding claims.
Key Responsibilities
Review medical billing, outstanding claims, and insurance denial reports.
Investigate denied, rejected, underpaid, or unpaid insurance claims.
Contact insurance companies to obtain claim updates and determine reasons for non-payment.
Follow up consistently on outstanding claims until resolution.
Identify the information or corrections required to resolve claim issues.
Correct and resubmit claims where necessary.
Maintain accurate and detailed notes of all follow-up activities.
Track claims throughout the resolution process.
Identify recurring denial trends or billing issues.
Escalate complex or recurring issues when appropriate.
Communicate claim updates clearly to relevant internal stakeholders.
Ensure outstanding items are followed through and not left unresolved
Previous
medical billing, medical claims, health insurance, or revenue cycle experience is preferred.
Experience working with US healthcare insurance would be advantageous.
Strong organisational and administrative skills.
Excellent attention to detail and accuracy.
Confident and persistent when following up with insurance companies.
Strong problem-solving and investigative skills.
Professional and pleasant communication style.
Ability to maintain detailed and accurate records.
Strong written and verbal English communication skills.
Ability to manage multiple outstanding claims and priorities simultaneously.
Comfortable working independently with minimal supervision.
Reliable follow-through and a strong sense of accountability.
Comfortable working U.S. hours
Remote work from home
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