Insurance Specialist – Credit Resolution

Meduit | Driving Revenue Cycle Performance

Insurance Specialist focused on resolving insurance processing errors in healthcare revenue management. Employing expertise in patient billing and claims submission with insurance companies.

Posted 6/18/2026full-timeRemote • Minnesota • 🇺🇸 United StatesMid-LevelSenior💰 $20 - $22 per hourWebsite

About the role

Key responsibilities & impact

Analyze payer payments to identify underpayments and reimbursement discrepancies by comparing paid amounts to contracted rates, fee schedules, and expected reimbursement
Interpret and apply payer contract terms, guidelines, and reimbursement methodologies to ensure accurate payment outcomes
Conduct detailed account analysis using strong analytical skills and persistence to resolve complex denials and payment variances
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

Requirements

What you’ll need

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 of medical billing and follow-up experience
Rural Health Clinic and Critical Access Hospital experience
Strong analytical skills with the ability to interpret payer guidelines and payment data
Proficiency with PC-based applications (Microsoft Outlook, Word, and Excel)
Download speed of 30MB or higher and upload speed of 10MB or higher are required
Access to a secure and private workspace where protected health information may be viewed or discussed

Benefits

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

denials resolutioncredit resolutionaccount analysisreimbursement methodologiespayer contract interpretationdata analysisrefund processingadjustment processingbilling follow-upMedicare credit balance reporting

Soft Skills

analytical skillspersistencecollaborationproblem-solvingattention to detailcommunicationorganizational skillstime managementprocess improvementcustomer service

Certifications

High School DiplomaGED