Insurance Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee the assigned claims inventory to minimize outstanding accounts receivable balances.

• Investigate and address issues related to insurance claim denials, rejections, and processing errors.

• Engage with patients and insurance providers regarding billing and reimbursement inquiries.

• Confirm and update patient demographic details, insurance, provider, and payer information.

• Assess insurance eligibility, benefits, coverage specifics, and patient financial responsibilities.

• Secure referrals, authorizations, and necessary documentation for claims processing.

• Utilize payer portals, billing systems, and revenue cycle software for account research and claim follow-up.

• Clarify billing charges, insurance benefits, payment responsibilities, and financial assistance options.

• Address inquiries related to claims, benefits, payments, and account balances.

• Collaborate with claims, collections, and revenue cycle teams to resolve account-related issues and enhance payment outcomes.

• Accurately document account activities and ensure compliance with payer and client requirements.

⛳️ Requirements

• High School Diploma or GED equivalent.

• Proficient in Microsoft Outlook, Word, and Excel.

• Capability to navigate multiple systems and applications simultaneously.

• Download speeds of 30 Mbps or higher and upload speeds of 10 Mbps or above.

• Access to a secure and private workspace for viewing and discussing confidential health information without interruptions.

• Dependable high-speed internet service.

• Candidates must possess legal authorization to work in the United States at the time of hire.

• The company does not offer employment visa sponsorship for this role.

• A pre-employment background check will be performed.

• Preferred: 2+ years of experience in medical billing and insurance follow-up.

• Preferred: Experience working with Medicare, Medicaid, and commercial insurance carriers.

• Preferred: Knowledge of claims resolution, denial management, and reimbursement processes.

• Preferred: Familiarity with Professional Billing and CMS-1500 claim forms.

• Preferred: Experience with NextGen and/or MS4 systems.

• Currently, candidates residing in the state of New York cannot be considered.

🏝️ Benefits

• Comprehensive paid training.

• Medical, dental, and vision insurance.

• HSA and FSA options available.

• 401(k) plan with company match.

• Paid Wellness Time and Holidays.

• Employer-paid life insurance and long-term disability coverage.

• Opportunities for internal growth.

• Remote work option available.