Job Search Results for healthcare payer

Remote Medical Billing Specialist

We are seeking an experienced Medical Billing Specialist to join our team in a fully remote capacity. This individual will play a critical role in supporting billing operations, ensuring claims are... More processed accurately, compliantly, and in a timely manner.This is an immediate opening, and medical billing experience is strictly required. The ideal candidate is highly detail-oriented, organized, and comfortable working independently in a remote environment while maintaining high productivity and accuracy standards.Day-to-Day Responsibilities:Prepare, review, and submit medical claims to insurance providers with a high degree of accuracyPerform follow-up on unpaid or denied claims and resolve billing discrepanciesEnsure compliance with healthcare billing regulations and payer requirementsManage billing workflows within the NextGen Office systemMaintain accurate patient billing records and documentationCommunicate with internal teams and, when needed, insurance payers to resolve issuesMonitor claim status and ensure timely reimbursementWe 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/.Less

API Developer

The Senior API Developer will be responsible for designing, building, and maintaining secure, scalable APIs that enable access to and delivery of enriched provider data.This role will focus on... More exposing golden provider records and insights through well-structured API endpoints that integrate with downstream applications and workflow tools used during the referral process.Key Responsibilities:? Design and develop RESTful APIs to securely access and expose provider data from multiple backend systems? Build APIs that deliver enriched provider insights (cost, quality, network participation, performance, credentialing, claims-based data)? Define and implement API data contracts and payload structures to ensure consistency and usability across consuming applications? Develop and maintain authentication and authorization mechanisms to ensure secure data exchange? Integrate APIs with PostgreSQL, Snowflake, and other source systems to retrieve and serve data efficiently? Implement robust error handling, logging, and monitoring frameworks for API reliability and observability? Optimize API performance, scalability, and response times to support high-volume healthcare workflows? Collaborate with data engineering teams to ensure alignment between data models (golden record) and API outputs? Support integration with downstream systems that surface provider insights during the referral decision-making processWe 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/.Less

AR Specialist

DAY TO DAY:The Accounts Receivable Specialist follow up with insurance carriers on denied, underpaid, or unresolved insurance claims. This position requires a comprehensive understanding of the... More entire revenue cycle and appropriate actions to take to resolving claim issues with payers in a timely manner.RESPONSIBILITES: *Successfully navigate multiple vendors including but not limited to, payer websites and clearinghouse(s) *Produces and maintains department policies, procedures, documentation, and training materials for role specific activities *Upholds "best practices" in day-to-day processes and workflow standardization to drive maximum efficiencies across the team *Must maintain professional and consistent communication with the team and clients to ensure that all needed items are received in a timely manner *Routinely collaborate with department managers to correct problems and improve services *Accurately documents collection activity performed *Identifies inaccurate claim denials, under or over payments, billing errors, and discrepancies to correct to ensure resolution *Informs manager of identified issues or trends *Manages inbound and outbound calls for multiple clients, this may include handling different topics and being a contact between patients and clients *Provides timely resolution of assigned accounts for multiple clients *Successfully submits appeals to insurance companies to obtain reimbursement *Successfully navigates multiple vendors including, but not limited to, payer websites and clearinghouse(s) *Meets specified department performance requirements *Resolves support tickets submitted by clients and assigned to department according to metrics assigned *Manages time and multi-tasks appropriately to meet expectations of management and peers *Remote employee is responsible for sufficient internet connectivity and equipment necessary to complete assigned job duties in efficient manner *Remote employee is responsible to keep work area quiet and organized during scheduled working hoursWe 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/.Less

AR Specialist

DAY TO DAY:The Accounts Receivable Specialist follow up with insurance carriers on denied, underpaid, or unresolved insurance claims. This position requires a comprehensive understanding of the... More entire revenue cycle and appropriate actions to take to resolving claim issues with payers in a timely manner.RESPONSIBILITES: *Successfully navigate multiple vendors including but not limited to, payer websites and clearinghouse(s) *Produces and maintains department policies, procedures, documentation, and training materials for role specific activities *Upholds "best practices" in day-to-day processes and workflow standardization to drive maximum efficiencies across the team *Must maintain professional and consistent communication with the team and clients to ensure that all needed items are received in a timely manner *Routinely collaborate with department managers to correct problems and improve services *Accurately documents collection activity performed *Identifies inaccurate claim denials, under or over payments, billing errors, and discrepancies to correct to ensure resolution *Informs manager of identified issues or trends *Manages inbound and outbound calls for multiple clients, this may include handling different topics and being a contact between patients and clients *Provides timely resolution of assigned accounts for multiple clients *Successfully submits appeals to insurance companies to obtain reimbursement *Successfully navigates multiple vendors including, but not limited to, payer websites and clearinghouse(s) *Meets specified department performance requirements *Resolves support tickets submitted by clients and assigned to department according to metrics assigned *Manages time and multi-tasks appropriately to meet expectations of management and peers *Remote employee is responsible for sufficient internet connectivity and equipment necessary to complete assigned job duties in efficient manner *Remote employee is responsible to keep work area quiet and organized during scheduled working hoursWe 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/.Less

Full Stack Developer (React / Node.js w/ Express)

The Full Stack Developer will be responsible for designing, building, and maintaining both frontend user interfaces and backend APIs that enable access to and delivery of enriched provider data. This... More role will focus on developing intuitive, high-performing UI experiences for healthcare users while supporting secure, scalable backend services that expose golden provider records and insights. The developer will work across the full stack to ensure seamless integration between user-facing applications and underlying data platforms that drive referral workflows.Key Responsibilities:? Design and develop responsive, user-friendly front-end applications using React to display provider data and insights during referral workflows? Build and maintain RESTful APIs using Node.js and Express to securely expose provider data from backend systems? Develop UI components and dashboards that surface enriched provider insights (cost, quality, network participation, performance, credentialing, claims-based data)? Collaborate with UX/UI stakeholders to create clean, efficient, and accessible user experiences for clinical and operational users? Define and implement API data contracts and ensure seamless integration between frontend and backend layers? Integrate applications with enterprise data platforms, including PostgreSQL, Snowflake, and other upstream healthcare systems? Implement authentication and authorization mechanisms (e.g., OAuth2, JWT) across both frontend and backend layers? Ensure secure handling of sensitive healthcare data, following best practices for encryption and data protection? Optimize performance across the stack, including frontend rendering, API response times, and database queries? Implement error handling, logging, and monitoring to ensure application reliability and observability? Collaborate closely with data engineering teams to align UI displays with the underlying golden provider data model? Support integration with downstream systems that enable provider insights to be surfaced during the referral decision-making processWe 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/.Less

REMOTE AI Product Manager

Insight Global is seeking a AI Product Manager to join a global healthcare insurance provider client. This candidate will be responsible for providing product management support for the build out of... More AI agents to support customs claims, benefits accumulators and the customer service ID card space. The ideal candidate profile is someone who has demonstrated knowledge of technical AI and agentic concepts and has strong communication skills and experience working with technical stakeholders. This is a contract to start with the potential to convert for the right candidate. Compensation: $70 - 90/hr. Exact compensation may vary based on several factors, including skills, experience, and education.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/.Less

Insurance Denials Specialist

Ideally looking for candidates with Medicare or Medicade denials experience or government experience.Insight Global is seeking a Denials Insurance Specialist to join their Revenue Cycle team. This... More person will provide a liaison between the providers of health care services, the patient, or other responsible persons, and revenue sources, to ensure the correctness of charges, a current record of all transactions, and account resolutionThey will maintain active communications with insurance carriers and third-party carriers until account is paid, negotiate payment of current and past due accounts by direct telephone and written correspondence and update patient account information. Additionally, they will monitor and identifies payer denial trends and problem accounts; communicates patterns to supervisor, run a monthly aging report based on DOS and current A/R to identify accounts that require follow up and manage all assigned worklist daily for assigned insurances.This is a 100% remote role, that needs proven work from home experience. Additionally the working hours are 8-5 EST, but can have a 7-4 or 9-6 schedule if requested.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/.Less

Remote Senior Incident Manager - Night Shift

The Senior Incident Manager is a critical member of the Global Operations team, responsible for leading the end-to-end management of major incidents across a SaaS healthcare platform. This role... More operates with a high degree of autonomy, serves as a technical resource and mentor to peers, and drives continuous improvement across incident management processes. The ideal candidate brings deep technical expertise, strong written and verbal communication skills, and a proven ability to lead under pressure ? from initial triage through post-incident review.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/.Less

REMOTE Business Analyst

A large healthcare insurance client is seeking a Business Analyst to partner with internal stakeholders to understand workflows, gather and document requirements, and translate business needs into... More clear, actionable documentation. The role involves guiding business owners through BRD creation, supporting front-end and IT teams with technical business flows, and contributing to data analysis and reporting. Strong communication is key, as roughly half of the role is stakeholder engagement, with the remaining time split between requirements gathering and analytical support.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/.Less

Remote Senior Incident Manager - Day Shift

The Senior Incident Manager is a critical member of the Global Operations team, responsible for leading the end-to-end management of major incidents across a SaaS healthcare platform. This role... More operates with a high degree of autonomy, serves as a technical resource and mentor to peers, and drives continuous improvement across incident management processes. The ideal candidate brings deep technical expertise, strong written and verbal communication skills, and a proven ability to lead under pressure ? from initial triage through post-incident review.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/.Less