Revenue Cycle & Insurance Claims Associate

Job Overview

As a Revenue Cycle & Insurance Claims Associate, you will manage insurance eligibility verification, investigate claim issues, update electronic health records, and coordinate with insurance providers throughout the reimbursement process. You will work with multiple healthcare systems and internal departments to ensure claims are processed accurately while maintaining compliance with healthcare regulations and company quality standards.

Key Responsibilities

• Verify patient insurance eligibility for commercial, government, and other healthcare plans.
• Review and process insurance claims accurately throughout the reimbursement lifecycle.
• Research and resolve claim discrepancies, missing information, and insurance coverage issues.
• Update patient demographics, financial records, guarantor information, and account details within electronic health record systems.
• Coordinate with insurance providers to obtain required authorizations and documentation.
• Utilize Epic and other reimbursement platforms to maintain accurate claim records.
• Document all account activities and claim updates for proper tracking and compliance.
• Communicate insurance and reimbursement information with internal healthcare teams.
• Support department projects, high-volume periods, and operational initiatives as needed.
• Maintain confidentiality while following HIPAA regulations and organizational policies.
• Ensure work meets established quality standards and productivity expectations.

Required Qualifications

• High School Diploma or GED.
• Minimum 3 months of experience in a healthcare-related field.
• Knowledge of insurance claims processing, reimbursement procedures, and order management.
• Basic understanding of medical terminology and health insurance concepts.
• Experience working with electronic health record (EHR) systems.
• Proficiency with Microsoft Word, Outlook, and other Microsoft Office applications.
• Strong organizational skills with exceptional attention to detail.
• Ability to work independently while contributing effectively within a team environment.
• Excellent written and verbal communication skills.
• Authorization to work in the United States without employer sponsorship.

Preferred Qualifications

• Associate degree in a healthcare-related field.
• 12+ months of experience in medical billing or insurance reimbursement.
• Experience using revenue cycle management platforms.
• Medical billing certification.
• Experience working with Epic or similar electronic health record systems.

Work Environment

• Full-time remote position within the United States.
• Computer-based role requiring extensive keyboard and system usage.
• Occasional overtime may be required during busy periods.
• Collaborative environment supporting reimbursement and healthcare operations teams.

Benefits

• Comprehensive healthcare coverage including medical, dental, vision, and prescription plans.
• Retirement savings program.
• Paid vacation, holidays, volunteer time, and personal leave.
• Paid parental and caregiver leave.
• Wellness programs and employee support resources.
• Performance-based bonus eligibility.
• Professional development within a mission-driven healthcare organization.