Job SummaryThe Slow Pays Specialist is responsible for identifying, monitoring, and resolving insurance claims that have been paid late, partially paid, or not paid within expected payer timeframes. This role focuses on proactive follow-up with insurance carriers to accelerate reimbursement, reduce accounts receivable (A/R) aging, and improve overall cash flow. The position works remotely and collaborates closely with the billing, denials, and coding teams.Key ResponsibilitiesSlow Pay & A/R Follow-UpMonitor outstanding insurance claims beyond standard payer payment timelines.Identify slow-paying claims and prioritize based on aging, payer, and dollar value.Conduct follow-up with commercial payers, Medicare, and Medicaid via portals and phone.Document all follow-up actions, conversations, and outcomes in billing systems.Payment ResolutionInvestigate delayed, partial, or inconsistent payments.Request reprocessing, corrections, or escalations when appropriate.Coordinate with denials and resubmissions specialists for claims requiring correction or appeal.Reporting & Process ImprovementTrack slow-pay trends by payer and identify recurring issues.Provide feedback to leadership on payer performance and bottlenecks.Assist with A/R reports and cash-flow optimization initiatives.ComplianceMaintain compliance with HIPAA, payer regulations, and clinic policies.Ensure accurate and timely documentation of claim status and payer communications.Required QualificationsHigh school diploma or equivalent (Associate’s degree preferred).2+ years of medical billing or A/R follow-up experience, with emphasis on insurance follow-up.Strong knowledge of payer processes, timely filing limits, and reimbursement cycles.Experience with commercial insurance, Medicare, and Medicaid.Proficiency with billing software and payer portals.Ability to work independently in a remote environment.Preferred QualificationsExperience in neurology or specialty medical billing (EEG, diagnostics, procedures).Familiarity with CPT, ICD-10, and HCPCS codes.Billing or coding certification (CPB, CPC, CCS) a plus.Skills & CompetenciesStrong attention to detail and organizational skills.Persistence and professionalism when working with payers.Analytical mindset and problem-solving ability.Excellent written and verbal communication skills.Time management and ability to meet follow-up deadlines.CompensationStarting at 26,000 MXN Pesos Monthly
