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 denials, rejections, and processing errors related to insurance claims.

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

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

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

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

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

• 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 issues and enhance payment results.

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

• Work Monday–Friday, from 8 am to 5 pm EST or CST.

⛳️ Requirements

• High School Diploma or GED is required.

• Proficiency in Microsoft Outlook, Word, and Excel is necessary.

• Capability to navigate multiple systems and applications concurrently.

• A download speed of 30 Mbps or higher is required.

• An upload speed of 10 Mbps or higher is necessary.

• Access to a secure, private workspace where confidential and protected health information can be viewed and discussed without interruptions.

• Reliable high-speed internet service is essential.

• Candidates must be legally authorized to work in the United States at the time of hire.

• The company does not offer employment visa sponsorship.

• Currently, candidates residing in New York are not eligible for consideration.

• A pre-employment background check is mandatory.

• A minimum of 2 years of medical billing and insurance follow-up experience is preferred.

• Experience with Medicare, Medicaid, and commercial insurance carriers is preferred.

• Familiarity with claims resolution, denial management, and reimbursement processes is preferred.

• Experience with Professional Billing and CMS-1500 claim forms is preferred.

• Familiarity with NextGen and/or MS4 systems is preferred.

🏝️ Benefits

• Comprehensive paid training is provided.

• Medical, dental, and vision insurance options are available.

• Health Savings Account (HSA) and Flexible Spending Account (FSA) options are available.

• 401(k) plan with company matching contributions.

• Paid Wellness Time and Holidays.

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

• Opportunities for internal growth.

• Work-from-home flexibility.

• 3 weeks of paid training offered.