Insurance and Billing Specialist

🌍 Remote, USA 💹 Full-time 🕐 Posted Recently

Job Description

    Job Description:
  • 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
    Requirements:
  • Bachelor’s degree in healthcare administration, business, or related field or equivalent experience
  • Minimum 2 years of experience in medical billing and insurance verification
  • Proficiency in medical billing software
  • Strong knowledge of CPT and ICD-10 coding
  • Familiarity with HIPAA regulations and privacy standards
    Benefits:
  • The opportunity to be a part of a dynamic, mission-driven organization
  • Competitive base salary
  • Market-competitive healthcare coverage, including medical, dental, vision, life, and disability
  • The opportunity to work alongside talented and professional colleagues with the ability to grow

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