Insurance Billing Specialist

Babylist

4d • $65,604 - $87,565 • Remote

About The Position

Babylist Health helps families get the durable medical equipment (DME) they need — and getting the insurance side right is what makes that possible. As an Insurance Billing Specialist, you own the billing cycle end to end: verifying eligibility, submitting clean claims, chasing timely reimbursement, and clearing aged accounts. You’ll report to the Senior Billing Specialist Supervisor, and work across the business to keep billing accurate, compliant, and patient-centered. This is a fully remote role open across the US but there must be flexibility to support PST/CST working hours. The work is detailed and high-stakes — when you get it right, a family gets essential equipment without delays or surprise bills.

Requirements

• Own insurance billing across the full cycle — eligibility verification, prior authorizations, claim submission, denial management, appeals, and aged-account resolution — with a real track record of improving collections and reducing outstanding balances.
• Hands-on DME billing experience is essential — you’ve been directly responsible for billing outcomes on durable medical equipment claims, not just adjacent to them.
• Can read an EOB and know the next move — accurately identifying coverage, payments, denials, adjustments, and patient responsibility, then deciding whether to rebill, appeal, escalate, or close.
• Fluent in medical coding and compliance — CPT, HCPCS, and ICD-10, plus the standards that govern DME billing (HIPAA, CMS, ERISA, ACA).
• Hands-on with Brightree and NikoHealth and can work in both without ramp-up.
• At least 3 years of professional insurance billing and eligibility experience where you were directly responsible for billing outcomes.
• Clear, empathetic communicator — able to explain a denial or a patient-responsibility balance to a patient, provider, or payer without jargon and without losing patience.
• Detail-obsessed and organized, holding accuracy steady while juggling multiple priorities and deadlines.
• Naturally reach for AI in your work — at Babylist, every team uses AI daily. You’re already using it to move faster and improve your output, and you stay curious about what’s coming next.

Nice To Haves

• Familiarity with other billing/EMR systems (Epic, Kareo, AdvancedMD) is a plus.

Responsibilities

• Verify eligibility and run benefit investigations through payer portals and direct payer outreach.
• Submit, track, and follow up on claims to speed reimbursement and cut denials.
• Work aged accounts — find what’s blocking payment and drive each balance to resolution.
• Own EOB review from read to resolution: rebill, appeal, escalate, or close.
• Draft and submit well-documented appeals on denied claims.
• Walk patients through their benefits and billing questions with clarity and empathy.
• Partner with internal teams to tighten workflows, strengthen compliance, and improve the patient experience.
• Put AI-enabled tools to work on billing and reimbursement — without trading away accuracy or compliance.

Benefits

• Company-paid medical, dental, and vision insurance
• Retirement savings plan with company matching and flexible spending accounts
• Generous paid parental leave and PTO
• Winter Wonder Week: the whole company takes a paid week off at the end of the year, whether or not you celebrate anything, so everyone's out at once and comes back refreshed
• 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