Insurance Billing Specialist

Babylist; Severna Park (MD); On-site; USD 66,000 - 88,000; Full time

Job summary

Babylist Health is seeking an Insurance Billing Specialist to own the full billing cycle for DME claims and eligibility. You will verify coverage, submit clean claims, and pursue reimbursement across payer portals with a patient-centered approach.

You’ll work onsite near Baltimore, leverage Brightree and NikoHealth, and use AI daily to move work faster while maintaining accuracy and compliance, with a strong focus on collections and denial management.

Qualifications

• Hands-on DME billing experience essential.
• 3+ years of professional insurance billing and eligibility.
• Able to read an EOB and decide next steps.
• Fluent in medical coding and compliance: CPT, HCPCS, ICD-10.
• Familiar with Brightree and NikoHealth; Epic/Kareo/AdvancedMD a plus.
• Clear, empathetic communicator with strong prioritization.

Responsibilities

• Verify eligibility and run benefit investigations through payer portals.
• Submit, track, and follow up on claims to speed reimbursement and cut denials.
• Work aged accounts and drive balances to resolution.
• Own EOB review from read to resolution: rebill, appeal, elevate, or close.
• Draft and submit well-documented appeals on denied claims.
• Explain benefits and billing questions to patients with clarity.
• Partner with internal teams to tighten workflows and improve compliance.
• Put AI-enabled tools to work on billing and reimbursement with accuracy.

Skills

Insurance billing

Eligibility verification

DME billing

EOB interpretation

Medical coding

Brightree

NikoHealth

Epic/Kareo/AdvancedMD

Communication

Organization

AI in billing

Tools

Brightree

NikoHealth

Epic

Kareo

AdvancedMD

Job description

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 onsite role at our office just outside of Baltimore. The work is detailed and high-stakes — when you get it right, a family gets essential equipment without delays or surprise bills.

Who You Are

• You 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.
• You can read an EOB and know the next move — accurately identifying coverage, payments, denials, adjustments, and patient responsibility, then deciding whether to rebill, appeal, elevate, or close.
• You're fluent in medical coding and compliance — CPT, HCPCS, and ICD-10, plus the standards that govern DME billing (HIPAA, CMS, ERISA, ACA).
• You're hands-on with Brightree and NikoHealth and can work in both without ramp-up; familiarity with other billing/EMR systems (Epic, Kareo, AdvancedMD) is a plus.
• You bring at least 3 years of professional insurance billing and eligibility experience where you were directly responsible for billing outcomes.
• You're a 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.
• You're detail-obsessed and organized, holding accuracy steady while juggling multiple priorities and deadlines.
• You 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.

How You Will Make An Impact

• 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, elevate, 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.

Why This Role

• The stakes are human and immediate — clean billing is the difference between a family getting essential equipment on time or facing delays and surprise costs.
• You own billing outcomes end to end — the full cycle is yours, not a narrow slice handed down a claims line.
• Babylist Health is still scaling, so the billing process isn’t set in stone — the workflow and denial fixes you make will actually stick.
• There’s genuine appetite here for AI in billing — you’ll get to put new tools to work and see them adopted, not shelved.

About Compensation

We use a market-based approach to compensation. The starting salary range for this role is:

$65,604 to $87,565

Your starting salary will be based on your location, experience, and qualifications, with increases over time tied to performance, role growth, and internal pay equity.

Who We Are

Babylist is the leading platform for expecting and new families. More than 10 million people shop with Babylist every year, making it the go-to destination for seamless purchasing, guidance, and expert recommendations. As a modern, AI-forward tech company, Babylist has expanded from a universal registry into a full ecosystem — the Babylist Shop, Babylist Health, Babylist Money, NYC and LA showrooms, branded content, and more — generating $750M in revenue in 2025. Building the generational brand in baby, Babylist is reshaping the $235B kids and baby market and helping parents feel confident, connected, and cared for at every step.

Our Ways of Working

Babylist is remote-first with team members across the U.S. and Canada who move fast, think smart, and use AI as part of how they work every day — not as an experiment, as an expectation. We come together twice a year to build the relationships behind the work, and we hire people who are genuinely excited about what's possible and prove it through how they show up.

Why You Will Love Working At Babylist

Our Culture

• We work with focus and intention, then step away to recharge
• We believe in exceptional management, and we invest in the tools and the time to connect with colleagues
• We build products that positively impact millions of people's lives
• AI is part of how we work, not a side experiment. You'll have leading tools like Claude and ChatGPT from day one, with no waiting on access, so the busywork gets handled and your judgment goes where it counts

Growth & Development

• Competitive pay and meaningful opportunities for career advancement
• We believe technology and data can solve hard problems
• We're committed to career progression and performance-based advancement
• 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

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AI is part of how we work at Babylist. We expect you to use it too. Your application and interviews should still reflect you and your own thinking. We'll tell you when AI is encouraged. Misrepresentation at any stage may result in removal from consideration for this and future roles.

How We Review Applications

We use AI throughout our hiring process to help review, screen, and assess applications. These tools support our team's review; they do not replace it, and every hiring decision is made by a person.

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