Insurance Specialist

Job Summary

Managing the full insurance claim cycle, the full-time remote Insurance Specialist will verify eligibility, submit claims, resolve denials, and ensure accurate payment reconciliation while working within PST hours.

Key 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

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