Remote Insurance Denials Specialist

Meduit | Driving Revenue Cycle Performance; Brea (CA); On-site; USD 24,796 - 28,929; Full time

Benefits offered by this job

Comprehensive paid training

Medical, dental, and vision insurance

401(k) with company match

Job summary

Meduit | Driving Revenue Cycle Performance is seeking an Insurance Specialist for remote work aimed at resolving insurance processing errors. You will leverage your expertise in medical billing and claims submission to ensure timely payments from insurers.

The role requires 2+ years in Denials Management and Medical Billing, alongside strong communication skills. The position offers competitive pay of $18-$21 per hour and a comprehensive training program. Join us to drive revenue cycle performance while upholding our core values.

Qualifications

• 2+ years of Denials Management experience required.
• 2+ years of Medical Billing/Follow-up experience required.
• Familiarity with Medicare, Medicaid, and commercial payor required.
• Proficiency with PC-based applications necessary.

Responsibilities

• Resolve insurance processing errors and denials promptly.
• Communicate professionally with patients and insurance companies.
• Gather and update patient information for billing accuracy.
• Provide excellent customer service regarding billing questions.

Skills

Integrity

Communication

Problem-solving

Teamwork

Education

High School Diploma/GED

Tools

Microsoft Outlook

Microsoft Word

Microsoft Excel

Job description

About Us

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.

About Us

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.

About The Role

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.

Title: Insurance Specialist

Schedule: Multiple shifts available between 7:30am - 5pm Pacific time (6:30am-4pm Mountain) Monday – Friday

Location: Remote

Paid Training: 3 weeks

Compensation: $18 - $21 per hour base

Key Responsibilities

Reduce outstanding accounts receivable by managing claims inventory

Speak to patients and insurance companies in a professionalmanner regarding their outstanding balances

Gather information from patients, clients/family members, client clinical areas, government agencies, employers, third party payors and/or medical payment programs, etc. both in-person and by telephone to register patients, gather or update information, obtain referrals and pre-authorizations, complete appropriate forms, conduct evaluations, determine benefits and eligibility (insurance, public programs, etc.), determine financial responsibility and/or to identify sources of payment for services

Request, input, verify, and modify patient’s demographic, primary care provider, and payor information

Provide excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments, etc.

Answer questions by phone and provide quotes for services; identify financial resources, etc. in accordance with the client policies and procedures

Utilize various databases and specialized computer software for revenue cycle activities including eligibility verifications, pre-authorizations, medical necessity, review/updating of patient accounts, etc.

Explain charges, answer questions, and communicate a variety of requirements, policies, and procedures regarding patient financial care services and resources to patients, staff, payors, and agencies

Work with Claims and Collections in order to assist patients and their families with billing and payment activities

Skills & Competencies

Integrity

Communication

Problem-solving

Teamwork

Required Qualifications

High School Diploma/GED

2+ years of Denials Management experience

2+ years Medical Billing/Follow-up experience

Medicare, Medicaid, and commercial payor experience

Proficiency with PC-based applications (Microsoft Outlook, Word, and Excel)

Download speed of 30MB or higher & upload speed of 10MB or higher are REQUIRED. (you can test your speed here: https://speedtest.net/)

Access to a Secure and Private workspace (a space in which no one can hear or see you as you may have protected health information on your screen or you may say names, social security numbers or other PHI)

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.