Insurance Expert
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Job Description
US Insurance Expert at Jane improving billing processes for healthcare professionals across the United States. Collaborating with teams to streamline operations and provide educational support regarding insurance.
Responsibilities:
- Act as the go-to person for escalations, reviewing complex claim rejections and denials
- Help create clear, engaging learning content and guides for both customers and internal teams
- Support our team by resolving complex US insurance billing and rejection issues quickly
- Be a direct partner with clinics needing additional guidance with billing setups
- Meticulously review support cases, find knowledge gaps, and collaborate cross-functionally
- Be the connective thread between teams at Jane, translating customer billing pain points into insights for Product
- Provide expert input on complex billing questions and contribute to quality assurance
- Identify opportunities to simplify internal processes and strengthen cross-team alignment
Requirements:
- 7+ years of full Revenue Cycle experience as a biller within the United States
- Strong understanding of Commercial, BCBS, Medicaid, and Medicare billing requirements
- Proven experience with provider credentialing and enrollment, eligibility checks, and prior authorizations
- Deep expertise in claim submission and follow-up, including managing rejections, denials, disputes, and patient collections
- Familiarity with EDI workflows and clearinghouse processes
- Experience educating or training others in medical billing, coding, or credentialing
- Comfortable acting as the escalation point for internal and customer-facing billing inquiries
- Naturally collaborative, working cross-functionally with Support, Product, Community, and Billing Service teams
- Continuous learner who stays connected to real-world billing changes
Benefits:
- Health insurance
- 401(k) matching
- Flexible work hours
- Paid time off
- Remote work options
- Life insurance
- Disability coverage
- FSA or HSA options for medical expenses
- Wellness programs including virtual care and mental health support
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