Insurance and Billing Specialist

RightSite Health • San Antonio, TX

21h

About The Position

RightSite partners with EMS to connect non-emergent patients with a telehealth ER doctor and help navigate them to the appropriate site of care. The Insurance and Billing Specialist manages the billing cycle, from insurance verification through claim submission and reconciliation. The role calls for medical billing knowledge, attention to detail, independent work, and collaboration with other departments. The specialist helps optimize revenue cycles, maintain compliance with industry regulations, support the organization’s financial health, resolve billing discrepancies, and contribute to patient satisfaction.

The role also supports billing automation, audits, and improvements to front-end data collection. The successful candidate will serve as a subject matter expert for Navigators on insurance-related questions and work with Operations and health plans to address billing issues.

Requirements

• Bachelor’s degree in healthcare administration, business, or a related field, or equivalent experience.
• At least 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.
• Attention to detail in handling patient information, insurance data, and financial records.
• Problem-solving skills to analyze billing issues, identify discrepancies, and develop solutions.
• Clear communication skills for working with health plans to resolve billing irregularities.
• Technical proficiency with billing software, Excel, and data analysis tools.

Responsibilities

• Verify insurance coverage and ensure insurance information is accurately loaded for billing.
• Submit claims to the billing partner.
• Create invoices for case rates and other billing scenarios as needed.
• Review and correct patient demographic information, including dates of birth, addresses, and member IDs.
• Conduct claim audits and reconciliations to confirm services are accounted for and billed correctly.
• Research uninsured and unknown-insurance cases to identify potential coverage.
• Assist with implementation and testing of billing automation processes.
• Audit billing automations on an ongoing basis for accuracy and efficiency.
• Liaise with Operations to identify opportunities to improve front-end data collection.
• Serve as a subject matter expert for Navigators on insurance-related questions.
• Communicate billing irregularities to health plans and work with them to resolve issues.
• Help resolve claim rejections, billing discrepancies, and other complex billing issues.

Benefits

• Competitive base salary.
• Market-competitive healthcare coverage, including medical, dental, vision, life, and disability.
• Opportunity to work alongside talented and professional colleagues, with the ability to grow.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level