Insurance Specialist - Remote (PST Hours Only)

Meduit Group; United States; Remote; USD 25,000 - 30,000; Full time

Job summary

Meduit Group is seeking an Insurance Specialist to manage the full insurance claim cycle for hospital and physician clients in a remote, work-from-home setup across the United States. Responsibilities include eligibility verification, authorizations, claims submission, AR follow-up, denial resolution, and payment reconciliation.

The role requires 3+ years in insurance follow-up or revenue cycle operations, experience with Medicare/Medicaid/commercial payers, and proficiency in Epic and Cerner.

Qualifications

• 3+ years in insurance follow-up, denials management or healthcare revenue cycle.
• Experience with Medicare, Medicaid and commercial payers.
• Proficiency with Microsoft Office (Outlook, Word, Excel).

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 via calls, portals, and written correspondence.
• Review payment activity and reconcile account balances.
• Maintain accurate account documentation and claim activity records.
• Reduce aging receivables 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.

Skills

Insurance follow-up & denials

Medical billing

Revenue cycle operations

Payer communications

MS Office (Outlook, Excel, Word)

Education

High School Diploma or GED

Tools

Epic

Cerner

Job description

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 tofacilitate 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.
• Maintainaccurate 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.