Insurance Medical Billing Specialist

About the Role

Boogie Team is recruiting an Insurance Medical Billing Specialist to support accurate claims, reimbursement follow-up, and revenue-cycle administration for healthcare services.

You will work with providers, insurers, and internal teams to resolve billing issues, keep records accurate, and improve collection workflows.

Remote work aligned with U.S. Pacific Time (Los Angeles, PST/PDT), including daylight saving changes. The exact shift, working days, weekly hours, compensation, and engagement terms will be confirmed for the assignment.

Key Responsibilities

• Prepare, review, and submit claims using appropriate coding and client procedures.
• Verify insurance coverage, benefits, eligibility, co-pays, and deductibles.
• Monitor unpaid, delayed, rejected, denied, or underpaid claims and follow up promptly.
• Correct and resubmit claims and support appeals with the required documentation.
• Post payments and adjustments, reconcile discrepancies, and maintain billing records.
• Track accounts receivable, denial trends, claim acceptance, and aging reports.
• Follow client confidentiality, HIPAA, and healthcare-compliance procedures.
• Coordinate with providers, insurers, and stakeholders to improve billing accuracy and workflow.

Requirements

• Proven medical billing, insurance billing, or revenue-cycle experience.
• Strong working knowledge of CPT, ICD-10, and HCPCS coding systems.
• Experience with U.S. insurers, including Medicare, Medicaid, or private insurance.
• Familiarity with EHR/EMR systems and medical billing software.
• Experience with claims processing, denials, payment follow-ups, and accounts receivable.
• High accuracy, organization, professional communication, and problem-solving skills.
• Ability to manage several billing tasks independently and work the agreed Pacific Time schedule.
• Submit your CV and a 60–90 second audio or video introduction using your own voice. Explain your relevant experience, the tools you use, and your Pacific Time availability. Audio-only is welcome.

Preferred Qualifications

• Experience in a clinic, healthcare provider, or medical practice.
• CPC or a comparable relevant certification.
• Experience with Kareo, AdvancedMD, Athenahealth, or similar systems.
• Knowledge of U.S. reimbursement and healthcare-compliance processes.