Remote Medical Billing Specialist

Join our growing team of healthcare revenue cycle professionals! Were seeking experienced Medical Billing Specialists skilled in A / R follow-up, denial management, and aged account resolution for Hospital and / or Physician Billing .

Our team partners with healthcare providers and hospital systems nationwide to streamline revenue cycle processes and resolve complex claims. In this role, youll be responsible for following up on denied, underpaid, or outstanding insurance claims and ensuring timely reimbursement through effective communication, research, and problem-solving.

Some of the additional benefits you'll have working with us include :

• Permanent, full-time position not contract!
• Flexible schedule
• Comprehensive medical, dental, vision, and life insurance packages
• Paid time off, holidays, and sick leave
• Career growth opportunities with a supportive and collaborative team environment

Key Responsibilities :

• Perform second-tier follow-up on outstanding insurance receivables in line with client, organizational, and regulatory guidelines.
• Manage high-dollar accounts and research items requiring escalation or specialized review.
• Utilize your knowledge of the healthcare revenue cycle to meet quality and productivity standards.
• Professionally communicate with payers, colleagues, and clients to resolve outstanding claims.
• Ensure accurate claim processing and reimbursement by reviewing carrier-specific requirements, including UB-04 / 1500 forms, DRG, per diem, and fee schedule reimbursements.
• Identify A / R trends, payer behavior, and workflow barriers and escalate as needed.
• Review and document all correspondence related to assigned accounts.
• Verify account accuracy, confirm payer information, assess coding, and provide necessary corrections or rebills.
• Contact third-party payers and government agencies to resolve unpaid or denied claims.
• Meet and maintain productivity, accuracy, and quality standards.

Requirements :

• 12 years of healthcare revenue cycle experience required
• High School Diploma or equivalent required ; Associates or Bachelors preferred
• Proficiency in major RCM systems such as Epic, Cerner, Soarian, McKesson, Allscripts, Meditech, or Invision
• Hands-on experience with UB-04 / HCFA 1500 billing, CPT and ICD-10 coding, and payer-specific claim processes
• Strong PC skills; must type at least 40 WPM and multitask across multiple systems
• Excellent written and verbal communication skills

Physical Requirements :

• While performing the duties of this job, the employee is frequently to use hands, fingers; and frequently to talk or hear. The employee must exert up to 15 pounds of force occasionally (activity or condition exists up to 1 / 3 of the time), and / or up to 5 pounds of force frequently, and / or a negligible amount of force constantly to move objects. The employee must have the ability to sit for long periods of time.