Insurance Billing Specialist

Babylist

2d • Remote

About The Position

In 2023, Babylist expanded into healthcare and wellness with the launch of Babylist Health, following the acquisition of a durable medical equipment (DME) company. Since then, Babylist Health has continued to grow, creating new opportunities to support families with essential health services and products. At Babylist Health, we believe every family deserves clarity and confidence in understanding their insurance coverage.
As an Insurance Billing Specialist, you’ll help families access the medical equipment they need by executing accurate, timely, and compliant billing workflows. You’ll be responsible for day-to-day tasks across the DME billing cycle, including insurance eligibility verification, claims submission, EOB interpretation, appeals, and aged account resolution. Your attention to detail and ability to navigate payer rules will directly reduce delays and confusion for families during a critical time.
You’ll work daily in Brightree and NikoHealth, communicate with payers, and collaborate closely with teammates via Slack and Google Meet.This is a steady, detail-focused contributor role ideal for someone who values long-term impact, deep expertise, and consistent execution in a high-accountability environment. While growth opportunities may arise over time, this role is best suited for someone who finds fulfillment in delivering reliable, high-quality work that supports families every day.
This role is fully remote and open to candidates across the United States. The team operates on a Pacific Standard Time schedule, Monday through Friday, with two shift options: 8:00 a.m.–4:30 p.m. PST (11:00 a.m.–7:30 p.m. EST) or 8:30 a.m.–5:00 p.m. PST (11:30 a.m.–8:00 p.m. EST). Regardless of location, all team members work PST-aligned hours to ensure consistency for our patients and partners.

Requirements

• DME Experience: You bring 3+ years of direct experience in DME billing and insurance reimbursement, managing the full claim lifecycle from eligibility verification through appeals and collections
• EOB Interpretation: You confidently review EOBs, identify payment discrepancies, denials, and adjustments, and take appropriate follow-up actions with minimal oversight
• Tools & Systems: You’ve worked extensively in Brightree and NikoHealth or comparable billing platforms, and are comfortable navigating EMRs like Epic, Kareo, or AdvancedMD to document and track claim progress
• Compliance Knowledge: You have a working understanding of CPT, HCPCS, ICD-10, and relevant DME billing regulations such as HIPAA, CMS, and ERISA, and apply them accurately in your daily work
• Attention to Detail: You spot issues others miss, ensuring claims are submitted cleanly, documentation is complete, and no step in the process is overlooked—even at high volume
• Communication Style: You explain complex billing issues clearly and professionally, whether you're resolving a patient inquiry, collaborating with internal teams, or working with payers to resolve a denial
• Role Fit: You’re someone who thrives in a contributor role that values mastery, precision, and process excellence. You take pride in doing important behind-the-scenes work that has a direct impact on patient access and company success
• AI Readiness: You’re open to using AI tools that improve workflow efficiency and accuracy, and willing to adapt as the team adopts new technologies that enhance billing operations

Responsibilities

• Verify insurance: Conduct timely and accurate eligibility checks and benefit investigations through payer portals and phone outreach to ensure claims are submitted correctly from the start
• Submit and track: Enter and monitor DME claims across multiple platforms, troubleshoot billing issues, and proactively follow up to reduce denials and accelerate reimbursement
• Review and resolve: Analyze explanation of benefits (EOBs) for errors, missing payments, or misapplied patient responsibility, then determine and execute the correct resolution path
• Draft and submit: Write detailed, well-supported appeals that address denial reasons clearly and improve chances of successful claim recovery
• Investigate and escalate: Work aging reports weekly to identify unpaid or incorrectly paid claims, collaborate with payers or escalate internally as needed to drive resolution
• Communicate clearly: Provide clear and empathetic responses to patients with billing questions, helping them understand their benefits and out-of-pocket costs without confusion
• Collaborate cross-functionally: Work with Billing teammates, Customer Experience, Fulfillment, and cross-functional partners to identify process gaps and improve billing operations end to end
• Leverage AI: Use AI-enabled tools that assist with eligibility, claims validation, and documentation to improve efficiency while maintaining billing accuracy and compliance
• Support families: Ensure timely access to medically necessary DME by reducing billing friction, shortening reimbursement cycles, and ensuring every claim is processed with care

Benefits

• Competitive salary with equity and bonus opportunities
• Company-paid medical, dental, and vision insurance
• Retirement savings plan with company matching and flexible spending accounts
• Generous paid parental leave and PTO
• Remote work stipend to set up your office
• Perks for physical, mental, and emotional health, parenting, childcare, and financial planning

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 251-500 employees