Insurance Billing Specialist
$65.6k - $87.57kBabylist
What the Role Is Babylist Health helps families get the durable medical equipment (DME) they need - and getting the insurance side right is what makes that possible. As an Insurance Billing Specialist, you own the billing cycle end to end: verifying eligibility, submitting clean claims, chasing timely reimbursement, and clearing aged accounts. You'll report to the Senior Billing Specialist Supervisor, and work across the business to keep billing accurate, compliant, and patient-centered. This is a fully onsite role at our office just outside of Baltimore. The work is detailed and high-stakes - when you get it right, a family gets essential equipment without delays or surprise bills. Who You Are
- You own insurance billing across the full cycle - eligibility verification, prior authorizations, claim submission, denial management, appeals, and aged-account resolution - with a real track record of improving collections and reducing outstanding balances.
- Hands-on DME billing experience is essential - you've been directly responsible for billing outcomes on durable medical equipment claims, not just adjacent to them.
- You can read an EOB and know the next move - accurately identifying coverage, payments, denials, adjustments, and patient responsibility, then deciding whether to rebill, appeal, escalate, or close.
- You're fluent in medical coding and compliance - CPT, HCPCS, and ICD-10, plus the standards that govern DME billing (HIPAA, CMS, ERISA, ACA).
- You're hands-on with Brightree and NikoHealth and can work in both without ramp-up; familiarity with other billing/EMR systems (Epic, Kareo, AdvancedMD) is a plus.
- You bring at least 3 years of professional insurance billing and eligibility experience where you were directly responsible for billing outcomes.
- You're a clear, empathetic communicator - able to explain a denial or a patient-responsibility balance to a patient, provider, or payer without jargon and without losing patience.
- You're detail-obsessed and organized, holding accuracy steady while juggling multiple priorities and deadlines.
- You naturally reach for AI in your work - at Babylist, every team uses AI daily. You're already using it to move faster and improve your output, and you stay curious about what's coming next.
- Verify eligibility and run benefit investigations through payer portals and direct payer outreach.
- Submit, track, and follow up on claims to speed reimbursement and cut denials.
- Work aged accounts - find what's blocking payment and drive each balance to resolution.
- Own EOB review from read to resolution: rebill, appeal, escalate, or close.
- Draft and submit well-documented appeals on denied claims.
- Walk patients through their benefits and billing questions with clarity and empathy.
- Partner with internal teams to tighten workflows, strengthen compliance, and improve the patient experience.
- Put AI-enabled tools to work on billing and reimbursement - without trading away accuracy or compliance.
- The stakes are human and immediate - clean billing is the difference between a family getting essential equipment on time or facing delays and surprise costs.
- You own billing outcomes end to end - the full cycle is yours, not a narrow slice handed down a claims line.
- Babylist Health is still scaling, so the billing process isn't set in stone - the workflow and denial fixes you make will actually stick.
- There's genuine appetite here for AI in billing - you'll get to put new tools to work and see them adopted, not shelved.
- We work with focus and intention, then step away to recharge
- We believe in exceptional management, and we invest in the tools and the time to connect with colleagues
- We build products that positively impact millions of people's lives
- AI is part of how we work, not a side experiment. You'll have leading tools like Claude and ChatGPT from day one, with no waiting on access, so the busywork gets handled and your judgment goes where it counts
- Competitive pay and meaningful opportunities for career advancement
- We believe technology and data can solve hard problems
- We're committed to career progression and performance-based advancement
- Company-paid medical, dental, and vision insurance
- Retirement savings plan with company matching and flexible spending accounts
- Generous paid parental leave and PTO
- Winter Wonder Week: the whole company takes a paid week off at the end of the year, whether or not you celebrate anything, so everyone's out at once and comes back refreshed
- Remote work stipend to set up your office
- Perks for physical, mental, and emotional health, parenting, childcare, and financial planning
Vacancy posted 2 days ago
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