Insurance Specialist (Remote) - Eastern & Central Time Zones

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.

Key Responsibilities

• Reduce outstanding accounts receivable by managing claims inventory
• Speak to patients and insurance companies in a professional manner 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
• 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

• A 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)

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

What We Offer

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 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.

Background Check

At this time, we are unable to consider candidates residing in the state of New York for this position. Employment is contingent upon successful completion of a background check, satisfactory references, and any required documentation.