Insurance & Billing Specialist

Insurance And Billing Specialist

We are changing how EMS navigates care! RightSite partners with EMS on-site to connect non-emergent patients with a Telehealth ER Provider and navigate them to the right site of care. Patients instantly access an ER Telehealth Provider and a Patient Navigator who provide a trusted, genuine human connection in a time of need. EMS becomes more available for critical emergencies while we deliver higher quality care at a lower cost and better experience for everyone.

The Insurance and Billing Specialist will be responsible for managing all aspects of the billing cycle, from insurance verification to claim submission and reconciliation. This dynamic role requires a strong understanding of medical billing practices, attention to detail, and the ability to work independently as well as collaboratively with other departments. As a crucial member of our team, you will leverage your expertise to optimize revenue cycles, ensure compliance with industry regulations, and contribute to the financial health of our organization. Your skills in navigating complex insurance systems and resolving billing discrepancies will be instrumental in maintaining smooth operations and enhancing patient satisfaction.

If you would like the opportunity to make a tangible impact on community health while working for a dynamic, mission-driven organization, we would love to hear from you!

Verify insurance coverage and ensure accurate loading of insurance information for billing purposes

Submit claims to our billing partner

Create invoices for case rates and other billing scenarios as needed

Perform front-end edits on patient demographics, correcting information such as date of birth, addresses, and member IDs

Conduct claim audits and reconciliations to ensure all services are accounted for and billed correctly

Research uninsured and unknown insurance cases to identify potential coverage

Assist in the implementation and testing of billing automation processes

Perform ongoing audits of billing automations to ensure accuracy and efficiency

Serve as a liaison with Operations, identifying opportunities for improvement in front-end data collection

Serve as a SME (Subject Matter Expert) for Navigators on insurance-related questions