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Insurance Specialist
Meduit | Driving Revenue Cycle Performance. Manage the full insurance claim cycle, including eligibility verification, authorizations, claims submission, accounts receivable follow-up, denial resolution, and payment reconciliation .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing the full insurance claim cycle, including eligibility verification, claims submission, and denial resolution. Proficient in utilizing healthcare revenue cycle tools and maintaining accurate documentation to support operational and financial performance goals.
Highest-signal resume keywords
Insurance Claim ManagementDenials ManagementMedical BillingEpic ProficiencyPayer Portal Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims SubmissionEligibility VerificationPayment ReconciliationMedical Terminology KnowledgeCoding Principles KnowledgeAccounts Receivable Follow-UpDenial ResolutionReimbursement ProcessesHealthcare Revenue Cycle OperationsBilling Issue Resolution
Soft Skills
Effective CommunicationCollaborationProblem-SolvingAttention to DetailTime Management
Tools & Technologies
EpicCernerMeditechMicrosoft OfficeAvailityExperianNaviNet
Industry Keywords
MedicareMedicaidCommercial PayersHealthcare Revenue CyclePatient Billing
About the role
Key responsibilities & impact- Manage the full insurance claim cycle, including eligibility verification, authorizations, claims submission, accounts receivable follow-up, denial resolution, and payment reconciliation
- 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
- Communicate with insurance carriers through phone calls, payer portals, and written correspondence
- Review payment activity and reconcile account balances
- Maintain accurate account documentation and claim activity records
- Reduce outstanding accounts receivable through effective claim management and follow-up
- Identify and resolve billing, coding, or payer processing issues impacting reimbursement
- Maintain established productivity, quality, and accuracy standards
- Collaborate with internal teams to resolve complex account issues and support client goals
- Support operational and financial performance goals for hospital and physician clients
Requirements
What you’ll need- 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
- Proficiency with Microsoft Office (Outlook, Word, and Excel)
- Knowledge of medical terminology and coding principles
- Experience using Meditech
- Experience with payer portals such as Availity, Experian, NaviNet, or similar platforms
- Experience in hospital or physician revenue cycle operations
- Previous remote healthcare revenue cycle experience
- Must work 8:30 AM to 5:30 PM PST
Benefits
Comp & perks- Work-from-home opportunity
- Remote work arrangement
- Secure and private workspace supported by company requirements
- Reliable internet connectivity requirements
- Internet connectivity verification may be required during the hiring process