Insurance Expert
Jane
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $72,000 per year
About the role
- Act as the go-to person for escalations, reviewing complex claim rejections and denials
- Help create clear, engaging learning content and guides for both customers and internal teams
- Support our team by resolving complex US insurance billing and rejection issues quickly
- Be a direct partner with clinics needing additional guidance with billing setups
- Meticulously review support cases, find knowledge gaps, and collaborate cross-functionally
- Be the connective thread between teams at Jane, translating customer billing pain points into insights for Product
- Provide expert input on complex billing questions and contribute to quality assurance
- Identify opportunities to simplify internal processes and strengthen cross-team alignment
Requirements
- 7+ years of full Revenue Cycle experience as a biller within the United States
- Strong understanding of Commercial, BCBS, Medicaid, and Medicare billing requirements
- Proven experience with provider credentialing and enrollment, eligibility checks, and prior authorizations
- Deep expertise in claim submission and follow-up, including managing rejections, denials, disputes, and patient collections
- Familiarity with EDI workflows and clearinghouse processes
- Experience educating or training others in medical billing, coding, or credentialing
- Comfortable acting as the escalation point for internal and customer-facing billing inquiries
- Naturally collaborative, working cross-functionally with Support, Product, Community, and Billing Service teams
- Continuous learner who stays connected to real-world billing changes
Benefits
- Health insurance
- 401(k) matching
- Flexible work hours
- Paid time off
- Remote work options
- Life insurance
- Disability coverage
- FSA or HSA options for medical expenses
- Wellness programs including virtual care and mental health support
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Revenue Cycle ManagementMedical BillingClaim SubmissionProvider CredentialingEligibility ChecksPrior AuthorizationsEDI WorkflowsClearinghouse ProcessesPatient CollectionsBilling Requirements
Soft Skills
CollaborationCommunicationProblem SolvingAttention to DetailTrainingEscalation ManagementCross-Functional TeamworkContinuous LearningCustomer ServiceInsight Translation