US Insurance Expert

7+ years of full Revenue Cycle experience as a biller in 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 across multiple payer types. Familiarity with EDI workflows and clearinghouse processes (Claim.MD experience is a plus). Experience educating or training others in medical billing, coding, or credentialing. Comfortable acting as an escalation point for billing inquiries. Naturally collaborative and able to work cross-functionally. Continuous learner who stays connected to billing changes and compliance requirements. Identifies gaps, builds processes, and documents learnings. Human and helpful communicator, balancing technical accuracy with empathy and clarity. Comfortable working in a fast-paced, evolving environment.

Act as the internal insurance authority for escalations and complex claim rejections/denials. Create learning content and guides for customers and internal teams. Resolve complex US insurance billing and rejection issues. Partner with clinics needing guidance on advanced billing setups. Review support cases to identify knowledge gaps and improve tools/workflows. Collaborate with Product, Support, and Billing Service teams. Provide expert input on complex billing questions for Jane's Billing Service. Identify opportunities to simplify internal processes and strengthen cross-team alignment.