[Hiring] Insurance Billing Specialist @Babylist

Role Description

Babylist Health helps families get the durable medical equipment (DME) they need — and getting the insurance side right is what makes that possible. As an Insurance Billing Specialist, you own the billing cycle end to end:

• Verifying eligibility
• Submitting clean claims
• Chasing timely reimbursement
• Clearing aged accounts

You’ll report to the Senior Billing Specialist Supervisor and work across the business to keep billing accurate, compliant, and patient-centered. This is a fully remote role open across the US but there must be flexibility to support PST/CST working hours. The work is detailed and high-stakes — when you get it right, a family gets essential equipment without delays or surprise bills.

Qualifications

• You own insurance billing across the full cycle — eligibility verification, prior authorizations, claim submission, denial management, appeals, and aged-account resolution — with a real track record of improving collections and reducing outstanding balances.
• Hands-on DME billing experience is essential — you’ve been directly responsible for billing outcomes on durable medical equipment claims, not just adjacent to them.
• You can read an EOB and know the next move — accurately identifying coverage, payments, denials, adjustments, and patient responsibility, then deciding whether to rebill, appeal, escalate, or close.
• You’re fluent in medical coding and compliance — CPT, HCPCS, and ICD-10, plus the standards that govern DME billing (HIPAA, CMS, ERISA, ACA).
• You’re hands-on with Brightree and NikoHealth and can work in both without ramp-up; familiarity with other billing/EMR systems (Epic, Kareo, AdvancedMD) is a plus.
• You bring at least 3 years of professional insurance billing and eligibility experience where you were directly responsible for billing outcomes.
• You’re a clear, empathetic communicator — able to explain a denial or a patient-responsibility balance to a patient, provider, or payer without jargon and without losing patience.
• You’re detail-obsessed and organized, holding accuracy steady while juggling multiple priorities and deadlines.
• You naturally reach for AI in your work — at Babylist, every team uses AI daily. You’re already using it to move faster and improve your output, and you stay curious about what’s coming next.

Requirements

• Verify eligibility and run benefit investigations through payer portals and direct payer outreach.
• Submit, track, and follow up on claims to speed reimbursement and cut denials.
• Work aged accounts — find what’s blocking payment and drive each balance to resolution.
• Own EOB review from read to resolution: rebill, appeal, escalate, or close.
• Draft and submit well-documented appeals on denied claims.
• Walk patients through their benefits and billing questions with clarity and empathy.
• Partner with internal teams to tighten workflows, strengthen compliance, and improve the patient experience.
• Put AI-enabled tools to work on billing and reimbursement — without trading away accuracy or compliance.

Benefits

• Company-paid medical, dental, and vision insurance
• Retirement savings plan with company matching and flexible spending accounts
• Generous paid parental leave and PTO
• Winter Wonder Week: the whole company takes a paid week off at the end of the year, whether or not you celebrate anything, so everyone's out at once and comes back refreshed
• Remote work stipend to set up your office
• Perks for physical, mental, and emotional health, parenting, childcare, and financial planning