Insurance and Billing Specialist

RightSite Health • San Antonio, TX

1d

About The Position

RightSite partners with EMS to connect non-emergent patients with a telehealth ER doctor and help them navigate to an appropriate site of care. The Insurance and Billing Specialist manages the billing cycle, from insurance verification through claim submission and reconciliation. The role applies medical billing expertise and attention to detail to optimize revenue cycles, maintain compliance with industry regulations, and support the organization’s financial health and patient experience. The specialist works independently and with other departments, navigates insurance systems, resolves billing discrepancies, supports billing automation, and serves as an insurance resource for Navigators.

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.
• Strong attention to detail, problem-solving, communication, and technical skills, including use of Excel and data analysis tools.

Responsibilities

• Verify insurance coverage and accurately load insurance information 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 ensure services are accounted for and billed correctly.
• Research uninsured and unknown-insurance cases to identify potential coverage.
• Assist with implementing and testing billing automation processes.
• Conduct ongoing audits of billing automations for accuracy and efficiency.
• Work 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.

Benefits

• Competitive base salary.
• Market-competitive healthcare coverage, including medical, dental, vision, life, and disability.
• Opportunity to grow alongside talented and professional colleagues.
• Opportunity to be part of a dynamic, mission-driven organization.

What This Job Offers

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