Insurance Specialist (Remote)

Med A/Rx•Sartell, MN

3d•$18 - $21•Remote

About The Position

Meduit is a national leader in healthcare revenue cycle management, supporting hospitals and physician practices in 48 states. We focus on optimizing payments, allowing clients to focus on patient care, and pride ourselves on our core values: Integrity, Teamwork, Continuous Improvement, Client-Focused, and Results-Oriented. Learn more at www.meduitrcm.com. Insurance Specialists are highly focused on the resolution of insurance processing errors and denials and work to resolve hospital and physician billing challenges. You will utilize your expertise in patient billing, claims submission, and payer guidelines (Medicare, Medicaid, &, commercial insurers) to effectively work with insurance companies, resolve issues, and ensure accurate and timely payments. This is a Work-Home position. Employees must maintain a secure and private workspace and reliable internet connectivity that meets company requirements. Internet connectivity verification may be required during the hiring process. This role is a Work-from-Home opportunity and is not considered location-independent remote work.

Requirements

High School Diploma or GED.
Proficiency with Microsoft Outlook, Word, and Excel.
Ability to navigate multiple systems and applications simultaneously.
Download speed of 30 Mbps or higher and upload speed of 10 Mbps or higher are required.
Access to a secure, private workspace where confidential and protected health information can be viewed and discussed without interruption.
Reliable high-speed internet service required.
Candidates must be legally authorized to work in the United States at the time of hire
The company does not provide employment visa sponsorship for this position
As a condition of employment, a pre-employment background check will be conducted
At this time, we are unable to consider candidates residing in the state of New York for this position

Nice To Haves

2+ years of medical billing and insurance follow-up experience
Experience working with Medicare, Medicaid, and commercial insurance carriers.
Knowledge of claims resolution, denial management, and reimbursement processes.
Experience with Professional Billing and CMS-1500 claim forms.
Experience using NextGen and/or MS4 systems.

Responsibilities

Manage assigned claims inventory to reduce outstanding accounts receivable balances.
Investigate and resolve insurance claim denials, rejections, and processing errors.
Communicate professionally with patients and insurance carriers regarding billing and reimbursement matters.
Verify and update patient demographic, insurance, provider, and payer information.
Determine insurance eligibility, benefits, coverage details, and patient financial responsibility.
Obtain referrals, authorizations, and supporting documentation required for claims processing.
Utilize payer portals, billing systems, and revenue cycle software to perform account research and claim follow-up activities.
Explain billing charges, insurance benefits, payment obligations, and financial assistance resources.
Respond to inquiries regarding claims, benefits, payments, and account balances in a timely manner.
Collaborate with claims, collections, and revenue cycle teams to resolve account issues and improve payment outcomes.
Document account activity accurately and maintain compliance with payer and client requirements.