Insurance Specialist – Payment Posting, Medical Billing

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

📋 Description

• Manage and resolve assigned claims inventory to decrease outstanding accounts receivable.

• Professionally communicate with patients and insurance providers regarding balances, benefits, claims, and payment-related inquiries.

• Collect, verify, and update information related to patient demographics, insurance details, referrals, authorizations, and eligibility.

• Use revenue cycle systems and payer portals to assess accounts, confirm coverage, and address claim issues.

• Clarify billing requirements, financial obligations, and payment options to both patients and payors.

• Collaborate with Claims and Collections teams to facilitate patient billing and payment processes.

• Address insurance processing errors, claim denials, and billing difficulties for hospital and physician billing accounts.

• Monitor, follow up on, and resolve insurance claims to ensure timely reimbursement and minimize accounts receivable.

⛳️ Requirements

• High School Diploma or GED is required.

• A minimum of 2 years of experience in payment posting within a healthcare billing environment.

• At least 2 years of experience in denials management.

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

• Familiarity with Medicare, Medicaid, and commercial payors is essential.

• Strong communication, problem-solving, and customer service abilities are necessary.

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

• The company will not provide employment visa sponsorship for this role.

• A pre-employment background check is a requirement for employment.

• Preferred qualifications include experience in Hospital Billing (HB) and Professional Billing (PB).

• Preferred: Proficiency with Epic, Health Quest, Experian, Waystar, and/or NextGen.

• Candidates residing in New York State are not eligible for consideration at this time.

🏝️ Benefits

• Comprehensive paid training is provided.

• Medical, dental, and vision insurance coverage.

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

• 401(k) plan with company matching contributions.

• Paid Wellness Time and Holidays offered.

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

• Opportunities for internal career advancement.