1/19/26 Jobs: Remote Healthcare Jobs Hiring Up To $85,000 per year!
DAILY LEADS
1/19/20264 min read
Insurance Billing Specialist at Babylist
Babylist is the leading platform for growing families, and they’ve recently expanded into healthcare with Babylist Health. As an Insurance Billing Specialist, you’ll be a vital part of this new chapter, helping parents access essential medical equipment (DME) by navigating the complexities of insurance coverage. This is a detail-oriented, high-accountability role perfect for those who want to use their billing expertise to directly support families during a critical life transition.
Key Responsibilities
This role is a "steady contributor" position focused on precision and consistent execution within the healthcare billing ecosystem.
Eligibility Verification: Conduct timely investigations via payer portals and phone calls to ensure medical equipment claims are accurate from the start.
Claims Management: Submit and track DME claims using platforms like Brightree and NikoHealth, proactively troubleshooting issues to accelerate reimbursement.
EOB Interpretation: Analyze Explanation of Benefits (EOBs) to identify discrepancies, denials, or misapplied patient responsibilities.
Denial & Appeals: Draft detailed, well-supported appeals to resolve unpaid claims and improve recovery rates.
Aged Accounts: Weekly investigation of aging reports to drive resolution on old or incorrectly paid claims.
Patient Communication: Provide empathetic and clear explanations to families regarding their benefits and out-of-pocket costs.
AI Integration: Leverage AI-enabled tools to assist with documentation and claims validation to improve workflow efficiency.
Required Qualifications
Babylist Health is looking for seasoned billing experts who thrive in a remote, technical, and process-driven environment.
Experience: 3+ years of direct experience in DME (Durable Medical Equipment) billing and insurance reimbursement.
Technical Proficiency: Hands-on experience with Brightree, NikoHealth, or comparable billing platforms; familiarity with EMRs like Epic or Kareo.
Regulatory Knowledge: Solid understanding of CPT, HCPCS, ICD-10, and regulations including HIPAA, CMS, and ERISA.
Analytical Skills: Mastery of EOB interpretation and the ability to identify payment trends or discrepancies with minimal oversight.
Resilience & Focus: Ability to handle high-volume workflows while maintaining extreme attention to detail.
Communication: Strong professional verbal and written skills for collaborating cross-functionally via Slack and Google Meet.
AI Openness: Enthusiastic about working in an "AI-forward" environment where new tech is used to amplify impact.
Payer Enrollment Coordinator at Spring Health
Spring Health is a mental health technology company with a $3.3 billion valuation and a mission to eliminate every barrier to care. As a Payer Enrollment Coordinator, you’ll be an operational anchor for their provider network. This role sits at the intersection of credentialing and billing, ensuring that mental health providers are accurately enrolled with insurance payers so they can focus on delivering care to millions of members.
Key Responsibilities
This is a high-accuracy, operational role that requires constant coordination between internal departments and external insurance payers.
Application Execution: Manage payer enrollment applications from the point of credentialing approval through final payer confirmation.
CVO Coordination: Utilize Medallion (Spring Health’s system of record) to manage enrollment intake and tracking.
CAQH Management: Maintain provider CAQH profiles and attestations in alignment with payer requirements.
Roster Maintenance: Prepare, validate, and reconcile provider rosters across all contracted insurance payers.
Billing Advocacy: Collaborate with the Revenue Cycle Management (RCM) team to resolve claim denials specifically tied to provider enrollment status.
Data Integrity: Ensure enrollment data is perfectly synced across internal systems, Medallion, and payer records.
Risk Management: Proactively identify and escalate enrollment delays or data discrepancies to leadership.
Required Qualifications
Spring Health is looking for operational experts who understand the "plumbing" of the healthcare industry.
Experience: 2+ years of direct experience in payer enrollment, provider enrollment, or healthcare operations.
Technical Knowledge: Working knowledge of CAQH, payer enrollment workflows, and roster management.
System Familiarity: Experience executing enrollment in partnership with a CVO or external credentialing vendor.
Preferred Background: Familiarity with Medicare, Medicaid, and managed care environments is highly desired.
Soft Skills: Exceptional organizational skills and the ability to manage multiple strict payer timelines simultaneously.
Alignment: A passion for mental health and a commitment to operational excellence.
Payer Operations Specialist at Spring Health
As part of Spring Health’s mission to revolutionize mental healthcare, the Payer Operations Specialist is a data-driven role focused on optimizing the relationship between the company and its insurance partners. This position is central to the Revenue Operations team, ensuring that claims are processed cleanly and that payer workflows are scalable as the company continues its hypergrowth.
Key Responsibilities
This role is for a "systems thinker" who can translate complex data into operational excellence.
Data Analysis: Collect and interpret clinical and financial data to assess payer performance and identify emerging trends.
KPI Monitoring: Track critical metrics like DSO (Days Sales Outstanding), denial volumes, and claim routing accuracy to flag discrepancies.
Dashboard Management: Assist in building and maintaining automated, self-refreshing KPI dashboards.
Cross-Functional Collaboration: Act as the operational bridge between Billing, RCM, Product, and Legal teams to facilitate seamless handoffs.
SOP Maintenance: Create and update "Payer Playbooks," internal guides, and documentation on routing rules and modifier requirements.
Project Coordination: Manage milestones and deliverables for new payer integrations or special revenue projects.
Process Improvement: Translate front-line payer insights into scalable technical improvements to reduce administrative friction.
Required Qualifications
Spring Health is looking for a detail-oriented professional who can thrive in a fast-paced, high-accountability environment.
Experience: 1–3 years of experience in healthcare operations, revenue cycle management (RCM), or data analysis.
Technical Skills: Strong analytical abilities with high proficiency in Excel or Google Sheets.
Nice-to-Have Tech: Experience with BI tools like Looker or Tableau and familiarity with healthcare claims systems.
Communication: Exceptional written skills for creating internal documentation and reporting trends to leadership.
Mindset: A proactive problem-solver who is eager to grow within a tech-forward mental health company.
Detail-Oriented: A high degree of accuracy is required for managing sensitive financial and operational data sets.
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