Job Description
We are seeking a Revenue Cycle Claims & EDI Specialist to support claim submission and error resolution efforts in a fast-paced healthcare environment. This individual will work Epic work queues, investigate and correct registration, follow-up, and EDI-related claim errors to ensure timely claim processing and reimbursement. The ideal candidate has a strong understanding of insurance verification and payer requirements across a variety of specialties and insurance types. This is a fully remote position requiring excellent time management skills and the ability to adapt to changing daily workloads.
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.
Required Skills & Experience
Experience working claim edits, denials, and claim submission processes in a healthcare revenue cycle environment.
Strong knowledge of EDI (Electronic Data Interchange) transactions and claim error resolution.
Experience using Epic, including claim, billing, or work queue functionality.
In-depth understanding of insurance verification, including Commercial, Medicare, Workers' Compensation, Auto, and RTE processes.
Strong organizational and time management skills with the ability to manage fluctuating workloads and priorities.
Nice to Have Skills & Experience
Prior experience working for a health insurance payer/carrier.
Experience supporting multiple specialties and diverse payer mixes.
Strong technical aptitude and comfort navigating multiple websites, portals, and healthcare applications.
Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.