Insurance Specialist

🔥 7 minutes ago

🇺🇸 United States – Remote

💵 $18 - $22 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔒 Insurance

👻 Ghost score 0%

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Meduit | Driving Revenue Cycle Performance

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2017

🏥 Healthcare

💸 Finance

🤝 B2B

Healthcare • Finance • B2B

Meduit is a parent organization of leading Revenue Cycle Management (RCM) companies (including MedA/Rx and Receivables Management Partners) focused on improving revenue cycle performance for healthcare organizations and the patients they serve. It provides accounts receivable and receivables management, extended business office services, medical debt collection, patient financing, insurance denial management, overpayment recovery, payment monitoring, compliance, data analytics and security, and patient-facing customer service. Meduit serves more than 500 hospitals and physician practices across 47 states, combining technology, people-focused patient engagement, and financial consulting to accelerate cash flow and improve financial, operational and clinical performance for healthcare providers.

📋 Description

• Manage the full insurance claim cycle, including eligibility verification, authorizations, claims submission, accounts receivable follow-up, denial resolution, and payment reconciliation • Verify insurance eligibility, benefits, and authorization requirements • Submit, review, and follow up on insurance claims to facilitate timely payment • Research and resolve denied, rejected, unpaid, or underpaid claims • Communicate with insurance carriers through phone calls, payer portals, and written correspondence • Review payment activity and reconcile account balances • Maintain accurate account documentation and claim activity records • Reduce outstanding accounts receivable through effective claim management and follow-up • Identify and resolve billing, coding, or payer processing issues impacting reimbursement • Maintain established productivity, quality, and accuracy standards • Collaborate with internal teams to resolve complex account issues and support client goals • Support operational and financial performance goals for hospital and physician clients

🎯 Requirements

• High School Diploma or GED • 3+ years of experience in insurance follow-up, denials management, medical billing, or healthcare revenue cycle operations • Experience with Medicare, Medicaid, and commercial payers • Experience using Epic and Cerner • Knowledge of patient billing, claims submission, and reimbursement processes • Proficiency with Microsoft Office (Outlook, Word, and Excel) • Knowledge of medical terminology and coding principles • Experience using Meditech • Experience with payer portals such as Availity, Experian, NaviNet, or similar platforms • Experience in hospital or physician revenue cycle operations • Previous remote healthcare revenue cycle experience • Must work 8:30 AM to 5:30 PM PST

🏖️ Benefits

• Work-from-home opportunity • Remote work arrangement • Secure and private workspace supported by company requirements • Reliable internet connectivity requirements • Internet connectivity verification may be required during the hiring process

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