Insurance Specialist; Healthcare Verification and Eligibility), Part-Time Contractor

Location: Remote (US only), working Eastern Time hours

Employment type: Part-time (about 20 hours per week), 1099 contractor

Candidates must be physically located in the US. Location and identity are verified before any offer, and all interviews are conducted on camera

At Nirvana, we are revolutionizing the way benefit verification is handled. Recognizing its convoluted and opaque nature, we are dedicated to bringing transparency to the costs and coverage of healthcare. By leveraging machine learning and AI, we have developed tools that enable care providers across various specialties to seamlessly check coverage, from patient intake through continuous monitoring, saving significant time and resources.

Our mission extends beyond facilitating access to care; we aim to alleviate financial anxiety for those seeking medical assistance and numerous providers. With support from esteemed investors such as Inspired Capital, Eniac Ventures, and Northzone, Nirvana is on a rapid growth trajectory. Over the past year, we have served some of the largest clients in healthcare, including Lifestance Health, Modern Health, and Headspace.

Join us as we continue to transform healthcare, making it more transparent and accessible for everyone.

This is a backfill hire on our billing team, joining an existing team of 6 and reporting directly to the hiring manager. You will focus on healthcare eligibility verification and claims denial resolution, working across payer portals such as Availity, One Healthport, and Evernorth to keep coverage information accurate and claims moving.

• Verify patient insurance eligibility and benefits accurately across payer portals, including Availity, One Healthport, and Evernorth
• Process and resolve claims denials, working directly with payers to identify root cause and next steps
• Communicate with internal teams and payer representatives to gather the information needed to resolve coverage and claims issues
• Maintain accurate, organized records of all eligibility and billing related activity
• Follow up on outstanding claims and denials within deadlines, with high accuracy
• Stay current on payer policies, billing regulations, and best practices related to eligibility and claims

• 3+ years of experience in healthcare billing, eligibility verification, or claims and denials management
• Hands on experience with payer portals such as Availity, One Healthport, or Evernorth
• Strong attention to detail and accuracy under deadline
• Excellent written and verbal communication skills
• Ability to work independently in a remote, distributed team, available during Eastern Time working hours
• Experience working with payers across all 50 states

• Background specifically in healthcare eligibility verification, rather than broader AR or finance billing
• Familiarity with ICD-10 and CPT coding
• In-house startup experience strongly preferred
• Experience working across multiple specialties
• CBCS (Certified Billing and Coding Specialist) is a nice to have, not required

$20 to $25 per hour, based on experience.