Clinic Claims Coordinator (REMOTE)

Position Overview

The Healthcare Claims Specialist ensures accurate claim creation and submission to insurance carriers, playing a vital role in our revenue cycle management. This position requires meticulous attention to detail, strong knowledge of billing compliance, and the ability to work independently in a remote environment to maximize reimbursement and minimize claim denials.

Remote Work Requirements :  Candidates must maintain a dedicated workspace with minimal distractions and reliable high-speed internet (minimum 25 Mbps download / 10 Mbps upload).

Key Responsibilities

Claims Processing & Documentation

• Generate insurance claims based on provider documentation and completed billing reviews

Verify accuracy of CPT, ICD-10, and HCPCS codes against services rendered

Apply payer-specific billing guidelines and internal compliance rules to all claims

Validate patient demographics, insurance eligibility, authorizations, and referrals before submission Quality Assurance & Problem Resolution

Identify and flag incomplete or inconsistent documentation for provider or coder review

Collaborate with coding and billing teams to resolve issues that impact claim processing

Meet or exceed established productivity and accuracy performance metrics

Maintain strict adherence to HIPAA regulations and organizational privacy standards Additional Duties

Support other revenue cycle activities as assigned by supervisor

Stay current on payer rule changes and coding updates

Required Qualifications

Education & Experience

High school diploma or equivalent required

Minimum 2 years of experience in healthcare billing, claims processing, or related administrative role

Working knowledge of medical terminology and insurance billing practices Technical Skills

Proficiency with Microsoft Office Suite

Experience using practice management systems and Electronic Health Records (EHR)

Basic understanding of CPT, ICD-10, and HCPCS coding systems

Familiarity with payer-specific billing edits and requirements Core Competencies

Exceptional attention to detail and organizational abilities

Self-motivated with proven ability to work independently with minimal supervision

Strong analytical and problem-solving capabilities

Clear written and verbal communication skills

Ability to manage competing priorities and meet tight deadlines

Preferred Qualifications

Experience with specialty practice billing (orthopedics, cardiology, etc.)

Medical billing or coding certification (CPC, CPB, CBCS, or similar)

Coursework or training in healthcare administration or revenue cycle management

Previous remote work experience in healthcare setting

Physical Requirements & Work Environment

This position requires :

Extended periods of sitting and computer work

Eye-hand coordination and manual dexterity for operating keyboard, phone, and office equipment

Visual acuity and hearing sufficient for documentation review and team communication

Ability to maintain focus and productivity in a remote work environment

Flexibility to work under deadline pressure and occasionally irregular hours

Vaco by Highspring values a diverse workplace and strongly encourages women, people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, and veterans to apply.

EEO Notice

Vaco by Highspring is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race (including but not limited to traits historically associated with race such as hair texture and hair style), color, sex (includes pregnancy or related conditions), religion or creed, national origin, citizenship, age, disability, status as a veteran, union membership, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, political affiliation, or any other protected characteristics as required by federal, state or local law.

Vaco by Highspring and its parents, affiliates, and subsidiaries are committed to the full inclusion of all qualified individuals. As part of this commitment, Vaco by Highspring and its parents, affiliates, and subsidiaries will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and / or to receive other benefits and privileges of employment, please contact HR@vaco.com .

Vaco by Highspring also wants all applicants to know their rights that workplace discrimination is illegal .

By submitting to this position, you agree that you will be giving Vaco by Highspring the exclusive right to present your as a candidate for the foregoing employment opportunity. You further agree that you have represented information about yourself accurately and have not affirmatively misrepresented your qualifications. You also agree to maintain as confidential, to the fullest extent permitted by law, any information you learn from Vaco by Highspring about the position and you will limit disclosure of information about the position only to the extent necessary to perform any obligations in furtherance of your application. In exchange, Vaco by Highspring agrees to exercise reasonable efforts to represent you through all solicitation, job screening and resume dispersal.

Privacy Notice

Vaco by Highspring and its parents, affiliates, and subsidiaries (“we,” “our,” or “Vaco by Highspring”) respects your privacy and are committed to providing transparent notice of our policies.

California residents may access Vaco by Highspring HR Notice at Collection for California Applicants and Employees here .

Pay Transparency Notice

Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to :

With that said, as required by local law, Vaco by Highspring believes that the following salary range referenced above reasonably estimates the base compensation for an individual hired into this position in geographies that require salary range disclosure. The individual may also be eligible for discretionary bonuses.