US Insurance Expert

7+ years of full Revenue Cycle experience as a biller within the United States, ideally with Physical Therapy, Chiropractic, or Acupuncture practices. 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 with Claim.MD is a plus). 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, payer updates, and evolving compliance requirements. A true improver - someone who identifies gaps, builds processes, and documents what they learn. Human and helpful communicator who can balance technical accuracy with empathy, clarity, and patience. Comfortable working in a fast-paced, evolving environment, where ambiguity is normal and growth is constant.

Act as the go-to person for insurance escalations and complex claim rejections/denials. Create clear, engaging learning content and guides for customers and internal teams. Support the team by resolving complex US insurance billing and rejection issues. Partner with clinics needing additional guidance on insurance tools. Review support cases to find knowledge gaps and improve tools/workflows. Translate customer billing pain points into insights for Product. Support education and enablement with training material. Advise Support teams on complex insurance workflows. Provide expert input on complex billing questions for Jane’s Billing Service. Contribute to quality assurance and team training. Identify opportunities to simplify internal processes and strengthen cross-team alignment. Take ownership of internal projects to improve support for clinics and team collaboration.