Global Technical Talent, an Inc. 5000 Company · 6 hours ago
Senior Billing & Insurance Advisor
United States
Contract
Remote
Senior Level
$60/hr - $62/hrGlobal Technical Talent is a leading financial services organization, and they are seeking a Senior Billing & Insurance Advisor to provide expert medical billing advocacy and advanced insurance analysis support. This role is responsible for resolving claims issues, reducing out-of-pocket costs, and delivering clear, client-ready insurance guidance across Medicare and private insurance plans.
CRMHuman ResourcesInformation TechnologyStaffing Agency
Responsibilities
Resolve unpaid, underpaid, or denied claims through investigation, follow-up, and escalation
Track and submit out-of-network claims accurately and on time
Audit medical bills, EOBs, and payment histories for discrepancies
Identify billing errors, coding issues, and coverage mismatches impacting balances
Reduce client costs through reconsiderations, corrected claims, and coordination of benefits
Prepare and submit appeals with complete documentation and required authorizations
Follow up on prior authorizations, referrals, and claim statuses
Maintain detailed documentation, timelines, and accountability for each case
Serve as a professional advocate between members, providers, and insurance carriers
Interpret plan documents and clearly explain benefits to support informed decision-making
Provide expert analysis of Medicare and private insurance policies, including exclusions and cost-sharing
Produce polished, client-ready insurance comparison and recommendation reports
Guide members through complex scenarios such as referrals, COB, appeals, and plan changes
Review plan documents, networks, formularies, and coverage rules
Verify deductible and MOOP exposure where applicable
Educate members with step-by-step guidance for benefit utilization and issue resolution
Document recommendations, interactions, and case status in internal systems
Qualification
Required
Expert medical billing advocacy and advanced insurance analysis support for members navigating complex healthcare coverage scenarios
Resolve unpaid, underpaid, or denied claims through investigation, follow-up, and escalation
Track and submit out-of-network claims accurately and on time
Audit medical bills, EOBs, and payment histories for discrepancies
Identify billing errors, coding issues, and coverage mismatches impacting balances
Reduce client costs through reconsiderations, corrected claims, and coordination of benefits
Prepare and submit appeals with complete documentation and required authorizations
Follow up on prior authorizations, referrals, and claim statuses
Maintain detailed documentation, timelines, and accountability for each case
Serve as a professional advocate between members, providers, and insurance carriers
Interpret plan documents and clearly explain benefits to support informed decision-making
Provide expert analysis of Medicare and private insurance policies, including exclusions and cost-sharing
Produce polished, client-ready insurance comparison and recommendation reports
Guide members through complex scenarios such as referrals, COB, appeals, and plan changes
Review plan documents, networks, formularies, and coverage rules
Verify deductible and MOOP exposure where applicable
Educate members with step-by-step guidance for benefit utilization and issue resolution
Document recommendations, interactions, and case status in internal systems
Microsoft Excel: Track claims, payments, balances, timelines, and appeal status
Microsoft Word: Draft appeal letters, billing correction requests, and summaries
Microsoft Outlook: Manage high-volume follow-ups and communications
PDF Tools (Adobe or similar): Review, edit, annotate, and organize bills, EOBs, and forms
Insurance Carrier Portals & Call Systems: Check claim status, escalate issues, and document outcomes
Excel: Build side-by-side plan comparisons (premiums, deductibles, MOOP, copays)
Word: Create professional insurance reports and written recommendations
Carrier & Network Portals: Perform provider lookups, formulary checks, and benefit reviews
Medicare Tools: Utilize Medicare.gov resources and enrollment rule references
CRM Systems (Salesforce): Track cases, document guidance, and manage follow-ups
Medical Billing & Claims Analysis: Deep understanding of claim flow, denials, and resolution strategies
Persistence & Follow-Through: Proactive management of long-running cases to completion
Problem-Solving & Critical Thinking: Adapt strategies when faced with incomplete or conflicting information
Clear Professional Communication: Explain complex insurance concepts in plain language
Organization & Case Ownership: Manage multiple active cases with accuracy and accountability
Policy Interpretation & Insurance Expertise: Advise accurately on coverage rules and limitations
Analytical Attention to Detail: Identify nuances affecting member outcomes
Client Education & Advocacy: Reduce anxiety while delivering factual, compliant guidance
Stakeholder Navigation: Confidently engage carriers, providers, and third parties
Preferred
Medicare and Medicaid claims experience
Commercial insurance experience (Anthem and other major carriers)
Appeals experience (medical necessity, authorization, coding, timely filing)
Basic CPT, HCPCS, and ICD coding familiarity
Medicare plan knowledge (Advantage vs Supplement, SEPs, IRMAA)
ACA, COBRA, and plan design exposure (HMO/PPO/EPO rules)
Salesforce experience
Benefits
Medical Insurance
Vision Insurance
Dental Insurance
401(k) Retirement Plan
Company
Global Technical Talent, an Inc. 5000 Company
Global Technical Talent (GTT) is a leading provider of Total Talent Solutions and a proud subsidiary of Chenega Corporation(www.chenega.com), a Native American corporation with over $1.5 billion in revenue and 7,200 U.S.
Founded in 1999
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Mario Moussa
Director of Strategic Partnerships
Company data provided by crunchbase