Insurance Billing Specialist

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, leverage AI to amplify our impact, 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, you’ll help families access the medical equipment they need by executing accurate, timely, and compliant billing workflows. You’ll be responsible for day-to-day tasks across the DME billing cycle, including insurance eligibility verification, claims submission, EOB interpretation, appeals, and aged account resolution. Your attention to detail and ability to navigate payer rules will directly reduce delays and confusion for families during a critical time.

You’ll work daily in Brightree and NikoHealth, communicate with payers, and collaborate closely with teammates via Slack and Google Meet.This is a steady, detail-focused contributor role ideal for someone who values long-term impact, deep expertise, and consistent execution in a high-accountability environment. While growth opportunities may arise over time, this role is best suited for someone who finds fulfillment in delivering reliable, high-quality work that supports families every day.

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 (11:00 a.m.–7:30 p.m. EST) or 8:30 a.m.–5:00 p.m. PST (11:30 a.m.–8:00 p.m. EST). Regardless of location, all team members work PST-aligned hours to ensure consistency for our patients and partners.

Who You Are

• DME Experience: You bring 3+ years of direct experience in DME billing and insurance reimbursement, managing the full claim lifecycle from eligibility verification through appeals and collections
• EOB Interpretation: You confidently review EOBs, identify payment discrepancies, denials, and adjustments, and take appropriate follow-up actions with minimal oversight
• Tools & Systems: You’ve worked extensively in Brightree and NikoHealth or comparable billing platforms, and are comfortable navigating EMRs like Epic, Kareo, or AdvancedMD to document and track claim progress
• Compliance Knowledge: You have a working understanding of CPT, HCPCS, ICD-10, and relevant DME billing regulations such as HIPAA, CMS, and ERISA, and apply them accurately in your daily work
• Attention to Detail: You spot issues others miss, ensuring claims are submitted cleanly, documentation is complete, and no step in the process is overlooked—even at high volume
• Communication Style: You explain complex billing issues clearly and professionally, whether you're resolving a patient inquiry, collaborating with internal teams, or working with payers to resolve a denial
• Role Fit: You’re someone who thrives in a contributor role that values mastery, precision, and process excellence. You take pride in doing important behind-the-scenes work that has a direct impact on patient access and company success
• AI Readiness: You’re open to using AI tools that improve workflow efficiency and accuracy, and willing to adapt as the team adopts new technologies that enhance billing operations

How You Will Make An Impact

• Verify insurance: Conduct timely and accurate eligibility checks and benefit investigations through payer portals and phone outreach to ensure claims are submitted correctly from the start
• Submit and track: Enter and monitor DME claims across multiple platforms, troubleshoot billing issues, and proactively follow up to reduce denials and accelerate reimbursement
• Review and resolve: Analyze explanation of benefits (EOBs) for errors, missing payments, or misapplied patient responsibility, then determine and execute the correct resolution path
• Draft and submit: Write detailed, well-supported appeals that address denial reasons clearly and improve chances of successful claim recovery
• Investigate and escalate: Work aging reports weekly to identify unpaid or incorrectly paid claims, collaborate with payers or escalate internally as needed to drive resolution
• Communicate clearly: Provide clear and empathetic responses to patients with billing questions, helping them understand their benefits and out-of-pocket costs without confusion
• Collaborate cross-functionally: Work with Billing teammates, Customer Experience, Fulfillment, and cross-functional partners to identify process gaps and improve billing operations end to end
• Leverage AI: Use AI-enabled tools that assist with eligibility, claims validation, and documentation to improve efficiency while maintaining billing accuracy and compliance
• Support families: Ensure timely access to medically necessary DME by reducing billing friction, shortening reimbursement cycles, and ensuring every claim is processed with care

Why You Will Love Working At Babylist

Our Culture

• We work with focus and intention, then step away to recharge
• We believe in exceptional management and invest in tools and opportunities to connect with colleagues
• We build products that positively impact millions of people's lives
• AI is intentionally embedded in how we work, create, and scale—supporting innovation and impact

Growth & Development

• Competitive pay and meaningful opportunities for career advancement
• We believe technology and data can solve hard problems
• We're committed to career progression and performance-based advancement

Compensation & Benefits

• Competitive salary with equity and bonus opportunities
• Company-paid medical, dental, and vision insurance
• Retirement savings plan with company matching and flexible spending accounts
• Generous paid parental leave and PTO
• Remote work stipend to set up your office
• Perks for physical, mental, and emotional health, parenting, childcare, and financial planning

About Compensation

We use a market-based approach to compensation. The starting salary range for this role is:

$65,155 to $78,227

Your starting salary will be based on your location, experience, and qualifications, with increases over time tied to performance, role growth, and internal pay equity.

Important Notices

Interview Process & Consent
Babylist uses AI to record and transcribe all interviews for evaluation purposes in accordance with CCPA and GDPR. By participating in an interview, you consent to this recording and transcription.

Interview Integrity
During the interview process, we're evaluating your individual problem-solving skills, creativity, and approach to challenges. While AI tools like ChatGPT, Claude, and Cursor are part of your daily toolkit once you join Babylist, all interviews, assessments, and take-home assignments must be completed independently. 

You may not use AI tools, third-party services, coaching platforms, or content-farming services during any part of the interview process unless we explicitly permit it. We will clearly communicate when AI tools are allowed for specific assessments.

Any indication of third-party assistance or AI-generated responses will result in immediate disqualification. We may also verify educational credentials through third-party sources—providing false or misleading information will result in removal from consideration.

Official Communication
All communication 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. Verify legitimate opportunities on our careers page.

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