Healthcare Specialist

We’re Hiring:
Healthcare Insurance or Billing Specialist - Remote

We're looking for a  Healthcare Insurance  or  Billing Specialist  to join our growing team at HELM ((Usted puede enviar una solicitud o contactar con nosotros por email usando el Buzón de Solicitud online de abajo))! You’ll be working with our  U.S.

-based Healthcare  clients in a fully remote capacity.

If you’re passionate about discovering your potential, this is the heart of what we do ().

In this role, you will support medical practices by managing insurance verifications, prior authorizations, claims submission, AR follow-up, and denial resolution. Your work will directly impact cash flow, revenue cycle performance, and operational efficiency. This is not an entry-level customer service role — we are only considering candidates with hands-on U.S. medical insurance or billing experience.  The ideal candidate  understands payer systems, CPT and ICD-10 coding fundamentals, and is comfortable managing both front-end and back-end revenue cycle responsibilities.

Not all requirements & responsibilities are required. If you only have experience in one area, feel free to apply!

Responsibilities
Perform  insurance eligibility  verification and detailed benefits breakdown.
Obtain, track , and follow up on prior authorizations and referrals.
Submit medical claims  accurately and in a timely manner.
Conduct accounts receivable  (AR) follow-up and resolve unpaid or denied claims.
Analyze claim denials  and submit corrected claims or appeals.
Post ERA/EOB payments  accurately and reconcile discrepancies.
Review aging reports  and prioritize high-value or time-sensitive accounts.
Communicate  directly with insurance payers to resolve billing issues.
Support patient coordination  tasks when needed, including scheduling.
Maintain accurate documentation  within EMR/EHR and billing systems.
Ensure HIPAA compliance  across all communications and processes.

Requirements and Qualifications
Strong English  communication skills (verbal and written).
Minimum 1+ year of  hands-on U.S. medical billing or insurance verification experience (required).
Strong understanding  of CPT, ICD-10, and basic HCPCS codes.
Experience  working with Medicare, Medicaid, and commercial payers.
Experience  handling AR follow-up and denial management strongly preferred.
Familiarity  with prior authorizations and referrals.
Comfortable communicating  with insurance representatives and navigating payer portals.
Detail-oriented , organized, and process-driven.
Able to work independently  in a structured remote environment.

Tools & Platforms
Experience using healthcare tools and platforms, including, but not limited to EMR/EHR systems such as Kareo, Athenahealth, Advanced

MD, eClinical

Works, Simple Practice, Dentrix, or similar billing and practice management systems.

Hours and Pay

Location:

Fully Remote

Schedule:

Must be available within 8:00 AM – 6:00 PM EST
Weekly

Hours:

Full-time or part-time available
Pay Range:  $800 – $1,100 per month, depending on experience

How to Apply

Visit our careers page, submit your CV, and tell us about your hands-on experience with U.S. medical billing and insurance processes.

About HELM
Helm is a staffing agency that connects A-Players with meaningful opportunities. We focus on placing high-performance remote professionals who take ownership of their work and care about results.
Does this describe you?

• Superb written and spoken English (we assess skills unassisted by AI tools).

• Entrepreneurial, attentive to others, curious, and hungry for growth.