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.
Paid Training: 3 weeks
Key Responsibilities:
Review accounts for credit balances and denials, determine root cause, and take appropriate corrective action (refund, adjustment, rebill, or appeal)
Review and resolve credit balances across all payers, with priority on regulatory accounts (e.g., Medicare credit balance reporting)
Submit timely, accurate appeals and process credit resolutions in alignment with payer and regulatory guidelines (including Medicare credit balance requirements)
Ensure all account activity supports forward movement toward resolution with a one-touch mindset
Maintain thorough, audit-ready documentation and accurate account notes
Meet established productivity (APH) and quality standards while prioritizing high-risk, high-dollar, and timely filing accounts
Collaborate cross-functionally to resolve issues and prevent recurrence
Identify trends and escalate systemic issues, providing feedback for process improvement
Initiate and track refunds, adjustments, and reapplications accurately and timely
Skills & Competencies:
Integrity
Communication
Problem-solving
Teamwork
Required Qualifications:
High School Diploma/GED
Minimum of 3 years of experience in hands-on denials and credit resolution, with a proven ability to recover revenue from complex insurance denials and credits
2+ years Medical Billing/Follow-up experience
Rural Health Clinic and Critical Access Healthcare 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.
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Equal Opportunity EmployerThis employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
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What We Do
Meduit was born out of a drive for excellence and a passion for new ideas for improving revenue cycle management for healthcare organizations and the patients they serve. Today, Meduit is a parent organization where leading RCM companies, including MedA/Rx and Receivables Management Partners (RMP), collaborate to identify and measure best practices, leverage one another's unique strengths, collaborate for results, and serve healthcare clients on a unified solutions platform. Meduit is one of the nation’s leading Revenue Cycle Management (RCM) companies with decades of experience in the RCM healthcare arena, serving more than 500 hospital and physician practices in 47 states. Meduit combines a state-of-the-art accounts receivable management model with advanced technologies and an experienced people-focused team that takes a compassionate and supportive approach to patient engagement. Meduit significantly improves financial, operational and clinical performance, maximizing cash acceleration and ensuring that healthcare organizations can dedicate their resources to providing more quality healthcare services to more patients.
