Insurance Specialist - Remote (PST Hours Only)

Meduit | Driving Revenue Cycle Performance; United States; Remote; USD 25,000 - 30,000; Full time

Benefits offered by this job

Medical insurance

Dental and vision insurance

HSA and FSA available

401(k) with company match

Wellness time and holidays

Life insurance

Long-term disability

Internal growth opportunities

Job summary

Meduit | Driving Revenue Cycle Performance is seeking an Insurance Specialist for a remote, work-from-home role serving hospital and physician clients across the United States. The position covers eligibility verification, authorizations, claims submission, AR follow-up, and denial resolution to support timely reimbursement.

You will work with payers and internal teams, maintain accurate records, and adhere to productivity and quality standards.

Qualifications

• Minimum high school diploma or GED.
• At least 3+ years in insurance follow-up, denials management, medical billing, or healthcare revenue cycle operations.
• Experience with Medicare, Medicaid, and commercial payers.
• Proficient in patient billing, claims submission, and reimbursement processes.
• Experience with Epic and Cerner systems.

Responsibilities

• Verify insurance eligibility, benefits, and authorization requirements.
• Submit, review, and follow up on insurance claims to facilitate timely payment.
• Research and resolve denied, rejected, unpaid, or underpaid claims.
• Communicate with carriers via phone, portals, and written correspondence.
• Review payment activity and reconcile account balances.
• Maintain accurate claim activity records.
• Reduce aging receivables through proactive follow-up.
• Identify payer processing issues impacting reimbursement.
• Maintain productivity, quality, and accuracy standards.
• Collaborate with internal teams to resolve complex account issues.

Skills

Insurance follow-up

Denials management

Medical billing

Healthcare revenue cycle

Medicare/Medicaid/Commercial payers

MS Office proficiency

Education

High School Diploma or GED

Tools

Epic

Cerner

Meditech

Availity

NaviNet

Job description

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.

About the Role

The Insurance Specialist is responsible for managing the full insurance claim cycle, including eligibility verification, authorizations, claims submission, accounts receivable follow-up, denial resolution, and payment reconciliation. This role works closely with payers and internal teams to ensure timely and accurate claim processing while supporting operational and financial performance goals.

The Insurance Specialist serves as a key resource in resolving insurance-related issues, maintaining account accuracy, reducing aging receivables, and supporting reimbursement efforts across hospital and physician clients.

Title: Insurance Specialist

Location: Remote, Work-from-home – United States

Schedule: 8:30 AM to 5:30 PM PST

Department: Insurance

Reports To: Insurance Supervisor

Compensation: $18-$22 per hour

Key Responsibilities

• Verify insurance eligibility, benefits, and authorization requirements.
• Submit, review, and follow up on insurance claims to facilitate timely payment.
• Research and resolve denied, rejected, unpaid, or underpaid claims.
• Communicate with insurance carriers through phone calls, payer portals, and written correspondence.
• Review payment activity and reconcile account balances.
• Maintain accurate account documentation and claim activity records.
• Reduce outstanding accounts receivable through effective claim management and follow-up.
• Identify and resolve billing, coding, or payer processing issues impacting reimbursement.
• Maintain established productivity, quality, and accuracy standards.
• Collaborate with internal teams to resolve complex account issues and support client goals.

Required Qualifications

• High School Diploma or GED
• 3+ years of experience in insurance follow-up, denials management, medical billing, or healthcare revenue cycle operations
• Experience with Medicare, Medicaid, and commercial payers
• Experience using Epic and Cerner
• Knowledge of patient billing, claims submission, and reimbursement processes
• Proficiency with Microsoft Office (Outlook, Word, and Excel)

PreferredQualifications

• Knowledge of medical terminology and coding principles
• Experience using Meditech
• Experience with payer portals such as Availity, Experian, NaviNet, or similar platforms
• Experience in hospital or physician revenue cycle operations
• Previous remote healthcare revenue cycle experience

Additional Information

This is a Work-from-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.

Employment Eligibility

• 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

What We Offer

• Comprehensive paid training
• Medical, dental, and vision insurance
• HSA and FSA available
• 401(k) with company match
• Paid Wellness Time and Holidays
• Employer paid life insurance and long-term disability
• Internal growth opportunities

Meduit is an Equal Opportunity Employer. We do not discriminate based on any protected class and welcome applicants from all backgrounds, consistent with applicable laws. Employment is contingent upon successful completion of a background check, satisfactory references, and any required documentation.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.