Insurance Billing Specialist, DME

Who We Are Babylist is the leading registry, e-commerce, and content platform for growing families. More than 9 million people shop with Babylist every year, making it the go-to destination for seamless purchasing, trusted guidance, and expert product recommendations for new parents and the people who love them. What began as a universal registry has grown into a full ecosystem for new parents, including the Babylist Shop, Babylist Health, and a flagship showroom in Los Angeles. Hundreds of brands in baby and beyond partner with Babylist to engage meaningfully with families during one of life’s most important transitions. With over $1 billion in annual GMV, and more than $500 million in 2024 revenue, Babylist is reshaping the $320 billion baby product industry. We’re helping parents feel confident, connected, and cared for at every step. As we build the generational brand in baby, our mission remains simple: to connect growing families with everything they need to thrive.To learn more, visit www.babylist.com. Our Ways of Working Babylist thrives as a remote-first company, with HQ team members located across the U.S. and Canada. We meet in person twice a year—once as a company and once by department to strengthen the relationships that power our work. We show up consistently, stay purpose-driven, and achieve results —together, from anywhere. What the Role Is In 2023, Babylist expanded into healthcare and wellness with the launch of Babylist Health, following the acquisition of a durable medical equipment (DME) company. Since then, Babylist Health has continued to grow, creating new opportunities to support families with essential health services and products. At Babylist Health, we believe every family deserves clarity and confidence in understanding their insurance coverage. As an Insurance Billing Specialist, DME you will play a critical role in making that possible by ensuring accurate eligibility verification, clean claim submission, timely reimbursement, and resolution of aged accounts. This position is key to removing financial and administrative barriers so families can access the DME they need without unnecessary delays. You’ll report to the Insurance Claim Recovery Manager and collaborate closely with teammates across the business to deliver a billing process that is accurate, compliant, and patient-centered. This role is fully remote and open to candidates across the United States. The team operates on a Pacific Standard Time schedule, Monday through Friday, with two shift options: 8:00 a.m - 4:30 p.m. PST or 8:30 a.m.- 5:00 p.m. PST. Regardless of location, all team members work PST aligned hours to ensure consistency for our patients and partners. Who You Are You have at least 3 years of professional insurance billing and eligibility experience, with your primary focus on DME billing and reimbursement. Experience must be from professional roles where you were directly responsible for billing outcomes. Experienced across the full billing cycle, including eligibility verification, prior authorizations, denial management, appeals, and aged account resolution, with a proven record of improving collections and reducing outstanding balances. Strong working knowledge of CPT, HCPCS, ICD-10 coding, and DME-specific compliance standards (HIPAA, CMS, ERISA, ACA). Advanced ability to interpret and act on EOBs — accurately identifying coverage details, payments, denials, adjustments, and patient responsibility, and determining the correct next step (rebill, appeal, escalate, or close). Proficient with Brightree and NikoHealth; familiar with other billing/EMR systems (Epic, Kareo, AdvancedMD, etc) and productivity tools (Microsoft 365, Google Workspace, Slack, Zendesk, Zoom). Your Soft Skills and Mindset: A clear and empathetic communicator - able to explain complex billing issues to patients, providers, and payers with patience and professionalism Detail-oriented and organized, with the ability to manage multiple priorities and maintain accuracy under tight deadlines Adaptable and resourceful, you are very comfortable with change and willing to learn new processes, technologies, and tools (including AI-enabled solutions) Collaborative and team-oriented, able to build positive relationships and contribute to a supportive remote work culture Problem-solver at heart - you approach billing challenges with persistence, creativity, and accountability Mission-driven, motivated by helping families access the care and equipment they need How You Will Make An Impact Conduct insurance eligibility verification and benefit investigations through payer portals and phone outreach to ensure accurate coverage Submit, review, and follow up on claims, supporting timely reimbursement and reducing denials Manage aged accounts, identifying barriers and driving resolution of outstanding balances Take ownership of EOB review and resolution — interpreting details and carrying out the correct next steps to maintain billing accuracy Draft and submit appeals for denied claims, supported by thorough documentation Communicate clearly and empathetically with patients regarding their benefits and billing inquiries Collaborate with internal teams to improve workflows, enhance compliance, and elevate the patient experience Leverage new technologies, including AI-enabled tools, to strengthen billing and reimbursement processes while ensuring accuracy and compliance Ensure families have timely access to critical DME by bridging the gap between providers, payers, and patients Why You Will Love Working At Babylist We invest in the infrastructure you’ll need to be supported and successful: tools, opportunities to connect with colleagues, and a stipend to help you set up your office We build products that have a positive impact on millions of people’s lives We work at a sustainable pace which means work/life balance is a real thing here We believe technology and data can solve hard problems AI plays a meaningful role in how we work, create, and scale—intentionally embedded in our tools, systems, and decision-making to support innovation and real impact We believe in exceptional management We offer competitive pay and meaningful opportunities for career advancement We have great benefits like company paid medical, dental, and vision, a generous paid parental leave policy, and 401k with company match We care about employee wellbeing with perks for physical, mental and emotional health, parenting, childcare, and financial planning Babylist follows a market-based approach to compensation, with pay varying based on location, experience, and qualifications. In compliance with applicable pay transparency laws, the starting salary range for this role is $52,082.00 to $78,227.00 , representing the lowest to highest compensation we reasonably expect to offer for this position. Your starting salary within this range will be determined based on your skills, experience, and work location, with future adjustments informed by role growth, performance, and internal pay equity. Babylist is committed to supporting career progression and recognizes the value of performance-based advancement In addition to competitive pay, Babylist offers equity, bonus opportunities, and a comprehensive benefits package, including company-paid health, dental, and vision insurance, 401(k) matching, flexible spending accounts, and paid leave, including PTO and parental leave. Please note: This application will close on September 8, 2025 at 9:00am PST. Important Notices Interview Process & Data UseTo support a fair and consistent hiring process, Babylist uses AI to transcribe all interviews. Transcripts are confidential and used solely for evaluation purposes, in accordance with data privacy laws such as CCPA and GDPR. By applying, you acknowledge and consent to this use. Official CommunicationAll communication regarding your application will come only from the Babylist Talent Team via an @babylist.com email address. We will never request payment, bank information, or personal financial details. Be cautious of fraudulent outreach via non-company email addresses, messaging platforms (e.g., WhatsApp, Telegram), or unsolicited phone calls. To verify legitimate opportunities, visit our careers page. SMS ConsentAs part of our hiring process, you may be offered the option to receive text message updates about your application or interviews. Opting out will not affect your application status—communication will continue via email or phone. 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