Remote Healthcare Insurance Billing Pro

BPI Burrell Preferred Inc.; St. Louis (MO); Remote; USD 48,000 - 60,000; Full time

Benefits offered by this job

PTO

Medical Insurance

Dental Insurance

Vision Insurance

401(k) Retirement Plan

Life Insurance

EAP

Mileage Reimbursement

Job summary

Brightli is seeking an Insurance Billing Specialist in Missouri to prepare and submit insurance claims, audit documentation, and monitor reimbursement trends in a healthcare setting. This role supports accurate billing, denials management, and timely communication with staff.

The position offers a full-time schedule with in-person or remote options for qualified candidates, with a focus on detailed financial processes and collaboration with the Financial Services team.

Qualifications

• High School Diploma or equivalent, coursework in business practices or accounting preferred.
• Minimum of three years of experience in bookkeeping, accounting support, healthcare administration, or related financial role.
• Minimum of two years of experience in insurance billing, medical billing, or healthcare revenue cycle operations.
• Knowledge of EHR and billing software systems.

Responsibilities

• Prepare, review, and submit insurance claims for private payers in accordance with established billing timelines.
• Audit claims and supporting documentation to ensure accurate coding, diagnoses, and charges before submission.
• Maintain accurate records related to insurance billing activity, claim status, denials, authorizations, payments, and reimbursement trends.
• Monitor payer reimbursement patterns and identify concerns related to contracted and out-of-network insurance payments.
• Investigate, follow up on, and resolve unpaid or denied claims.
• Prepare and submit claim appeals within required industry timeframes.
• Communicate claim and appeal statuses to program staff and stakeholders.
• Generate timely reports related to accounts receivable, claim status, collections activity, and reimbursement trends.
• Assist with monitoring outstanding receivables and provide recommendations regarding collections, write-offs, and reimbursements.
• Support process improvement initiatives, including billing system enhancements and database maintenance.
• Collaborate with billing leadership and internal teams to improve efficiency, accuracy, and financial outcomes.

Skills

Attention to detail

Problem-solving

Communication

Time management

Organization

Education

High School Diploma or equivalent

Coursework in business practices or accounting

Tools

Excel

Word

Outlook

Billing software

EHR systems

Job description

Brightli is seeking an Insurance Billing Specialist in Missouri to prepare and submit insurance claims, audit documentation, and monitor reimbursement trends in a healthcare setting. This role supports accurate billing, denials management, and timely communication with staff.

The position offers a full-time schedule with in-person or remote options for qualified candidates, with a focus on detailed financial processes and collaboration with the Financial Services team.