Insurance Specialist (Remote)

Insurance Specialist

Insurance Specialists are highly focused on the resolution of insurance processing errors and denials and work to resolve hospital and physician billing challenges. You will utilize your expertise in patient billing, claims submission, and payer guidelines (Medicare, Medicaid, and commercial insurers) to effectively work with insurance companies, resolve issues, and ensure accurate and timely payments.

Working schedule: 8 am - 5pm EST or CST, Monday Friday

Location: Remote, Work-from-Home - United States

Paid Training: 3 weeks

Compensation: $18 - $21 per hour

Key Responsibilities:

• Manage assigned claims inventory to reduce outstanding accounts receivable balances.
• Investigate and resolve insurance claim denials, rejections, and processing errors.
• Communicate professionally with patients and insurance carriers regarding billing and reimbursement matters.
• Verify and update patient demographic, insurance, provider, and payer information.
• Determine insurance eligibility, benefits, coverage details, and patient financial responsibility.
• Obtain referrals, authorizations, and supporting documentation required for claims processing.
• Utilize payer portals, billing systems, and revenue cycle software to perform account research and claim follow-up activities.
• Explain billing charges, insurance benefits, payment obligations, and financial assistance resources.
• Respond to inquiries regarding claims, benefits, payments, and account balances in a timely manner.
• Collaborate with claims, collections, and revenue cycle teams to resolve account issues and improve payment outcomes.
• Document account activity accurately and maintain compliance with payer and client requirements.

Required Qualifications:

• High School Diploma or GED.
• Proficiency with Microsoft Outlook, Word, and Excel.
• Ability to navigate multiple systems and applications simultaneously.
• Download speed of 30 Mbps or higher and upload speed of 10 Mbps or higher are required.
• Access to a secure, private workspace where confidential and protected health information can be viewed and discussed without interruption.
• Reliable high-speed internet service required.

Preferred Qualifications:

• 2+ years of medical billing and insurance follow-up experience
• Experience working with Medicare, Medicaid, and commercial insurance carriers.
• Knowledge of claims resolution, denial management, and reimbursement processes.
• Experience with Professional Billing and CMS-1500 claim forms.
• Experience using NextGen and/or MS4 systems.

Additional Information:

This is a Work-from-Home position. Employees must maintain a secure and private workspace and reliable internet connectivity that meets company requirements. Internet connectivity verification may be required during the hiring process. This role is a Work-from-Home opportunity and is not considered location-independent remote work.

Employment eligibility:

• Candidates must be legally authorized to work in the United States at the time of hire
• The company does not provide employment visa sponsorship for this position
• As a condition of employment, a pre-employment background check will be conducted
• At this time, we are unable to consider candidates residing in the state of New York for this position

What We Offer:

• Comprehensive paid training
• Medical, dental, and vision insurance
• HSA and FSA available
• 401(k) with company match
• Paid Wellness Time and Holidays
• Employer paid life insurance and long-term disability
• Internal growth opportunities

Meduit is an Equal Opportunity Employer. We do not discriminate based on any protected class and welcome applicants from all backgrounds, consistent with applicable laws. Employment is contingent upon successful completion of a background check, satisfactory references, and any required documentation.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.