Randstad USA · 6 hours ago
Senior Billing & Insurance Advisor
United States
Contract
Remote
Senior Level
$45/hr - $55/hr
5+ years expRandstad USA is seeking a Senior Billing & Insurance Advisor to provide expert medical billing advocacy and insurance claims resolution. This role involves managing complex cases, preparing private insurance reports, and mentoring team members while ensuring high-quality service delivery across ClaimMedic products.
ConsultingHuman ResourcesInformation TechnologyRecruiting
Hiring Manager
Cindy Ottens
Responsibilities
Provide advocacy services for comprehensive and group members, including review, escalation, and negotiation of medical bills and insurance claims
Manage complex cases requiring coordination with multiple providers, carriers, and third-party entities
Maintain consistent client communication to ensure transparency, education, and resolution
Prepare detailed private insurance reports for individuals and families, outlining plan options, benefits, exclusions, and financial considerations
Conduct consultations to explain findings, recommend coverage strategies, and support client decision-making
Monitor regulatory and market changes to ensure recommendations remain current and compliant
Deliver advocacy services across all ClaimMedic products with consistency and quality, act as a resource for complex cases and escalations
Serve as a subject matter expert for insurance navigation, billing audits, appeals, and coverage analysis, providing day-to-day guidance and coaching to Billing Advocate Associates
Mentor new hires during onboarding, serving as the primary peer resource for training and knowledge transfer
Conduct periodic case reviews to reinforce learning and ensure adherence to policies, providing constructive feedback to promote skill development and professional growth
Serve as an escalation point for complex or sensitive cases, ensuring resolution is both effective and diplomatic
Partner with the Senior Manager on workflow oversight, resource allocation, and case prioritization and serve as acting lead when the Senior Manager is unavailable
Assist in drafting, reviewing, and refining SOPs
Document all case activities in Salesforce in alignment with departmental SOPs
Support data collection for proof points, reporting, and departmental performance metrics
Collaborate on identifying process gaps and recommending improvements
Qualification
Required
5+ years of experience in health insurance, medical billing, or insurance advocacy
Strong knowledge of commercial insurance, Medicare, Medicaid, and expat/global plans
Proven expertise in medical billing audits, appeals, and coordination of benefits
Exceptional verbal, written, and interpersonal communication skills
Excellent organizational and prioritization skills; able to manage multiple client matters simultaneously
Computer proficiency in MS Office
Ability to handle sensitive situations with diplomacy and tenacity
Team player with a strong work ethic and ‘can do' attitude
Preferred
Experience with enrollment and private insurance report preparation
Salesforce experience
Experience mentoring or coaching peers
Benefits
Medical
Prescription
Dental
Vision
AD&D
Life insurance offerings
Short-term disability
401K plan
Company
Randstad USA
Randstad US is a wholly owned subsidiary of Randstad Holding nv, a global provider of human resources solutions.
1001-5000 employees
H1B Sponsorship
Randstad USA has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (754)
2022 (776)
2021 (1143)
2020 (1749)
Funding
Current Stage
Late StageLeadership Team
Lindsay Bennett
Executive Business Partner to CEO, North America
Traci Fiatte
CEO, Professional and Commercial Staffing
Recent News
2025-02-18
PR Newswire
2025-02-06
Company data provided by crunchbase