Join Our Team!

We are seeking a detail-oriented and motivated Insurance Specialist to join our growing medical billing team. In this role, you will be responsible for managing insurance claims, researching and resolving claim issues, communicating with insurance carriers and patients, and helping ensure timely reimbursement for our clients.

The ideal candidate has experience with medical insurance billing, strong analytical and problem-solving skills, and a commitment to delivering outstanding customer service.

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Insurance Specialist

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Key Responsibilities

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Insurance Claims Management

• Submit and follow up on insurance claims for a variety of commercial and government payers.

• Research unpaid, delayed, or denied claims and take appropriate corrective action.

• Prepare and submit reconsiderations and appeals when necessary.

• Maintain a working knowledge of insurance carrier policies, billing requirements, and reimbursement guidelines.

• Monitor payment trends and denial patterns, reporting unusual activity to management.

 

Insurance Verification & Account Research

• Utilize insurance portals and clearinghouse resources to:

  • Verify patient eligibility and benefits

  • Check claim status

  • Correct claim rejections and denials

  • Research payments, adjustments, and remittance information

• Maintain detailed and accurate documentation of all account activity and communications.

 

Customer Service

• Communicate professionally with patients, physician offices, and insurance representatives.

• Provide requested documentation while maintaining compliance with HIPAA, CMS, and other applicable regulations.

• Assist internal departments with insurance verification, billing requirements, and payer guidelines.

 

Administrative Responsibilities

• Complete payer documentation, including W-9 forms and one-time agreements.

• Review payment agreements for accuracy and negotiate when appropriate.

• Participate in meetings with insurance carriers to address billing issues and stay informed of policy changes.

• Perform other related duties as assigned.

 

Qualifications

 

Required

• High School Diploma or equivalent.

• 1–2 years of experience in medical billing, insurance follow-up, accounts receivable, or CPT coding.

• Working knowledge of commercial and government insurance plans.

• Experience submitting insurance claims and resolving denials.

• Strong organizational, analytical, and problem-solving skills.

• Excellent verbal and written communication skills.

• Ability to prioritize multiple tasks and work independently.

• Thorough understanding of HIPAA compliance and patient confidentiality.

 

Technical Skills

• Microsoft Word, Excel, and Outlook.

 

What We're Looking For

We're looking for someone who is:

• Detail-oriented and highly organized

• Dependable with excellent attendance

• Customer service focused

• Adaptable in a fast-paced medical billing environment

• Committed to accuracy, compliance, and continuous learning

 

What We Offer

• Competitive compensation

• Comprehensive benefits package

• Supportive and collaborative team environment

• Opportunities for professional growth and development

• Stable, growing company.

 

If you're passionate about healthcare revenue cycle management and enjoy solving complex insurance issues, we would like to hear from you.

 

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