Remote Medical Biller
About The Position
We are seeking an experienced and detail-oriented Medical Billing Specialist to join our Revenue Cycle team. This role is responsible for managing complex billing activities, ensuring accurate claim submission, resolving denials, optimizing reimbursement, and supporting the overall financial health of the organization. The ideal candidate will possess a strong understanding of healthcare billing regulations, payer requirements, and revenue cycle processes, with the ability to navigate complex reimbursement scenarios across multiple payer types and service lines. This individual will serve as a key resource for claim resolution, billing accuracy, and revenue integrity while maintaining the highest standards of compliance, professionalism, and patient confidentiality. Success in this role requires exceptional analytical skills, attention to detail, and the ability to collaborate effectively with providers, payers, and internal stakeholders in a fast-paced healthcare environment.
Requirements
- High school diploma or equivalent required
- 5+ years of progressively responsible experience in medical billing within a healthcare setting
- Demonstrated experience with complex billing scenarios, including multiple payers and varied service types (e.g., professional, outpatient, inpatient, or specialty services)
- Proven track record of claim resolution, denial management, and reimbursement optimization
- Expert knowledge of Revenue Cycle area such as front desk, claim entry, processing and posting
- Expert knowledge of Medicare, Medicaid, and commercial payer billing requirements
- Strong understanding of denial and responses
- Proficiency with EHR/ PM systems, electronic claims submission, and payer portals
- Exceptional attention to detail and accuracy in high-volume environments
- Strong analytical and problem-solving skills with the ability to interpret payer policies
- Excellent written and verbal communication skills for interaction with providers, payers, and internal stakeholders
- Ability to work independently, prioritize workload, and meet strict billing deadlines
- High level of professionalism and integrity when handling protected health information
Nice To Haves
- Associate or bachelor’s degree in health information management, Healthcare Administration, or a related field preferred
- Specialty-specific coding experience (e.g., surgery, cardiology, behavioral health)
- Prior experience supporting appeals, audits, or compliance reviews
Responsibilities
- Managing complex billing activities
- Ensuring accurate claim submission
- Resolving denials
- Optimizing reimbursement
- Supporting the overall financial health of the organization
- Serving as a key resource for claim resolution, billing accuracy, and revenue integrity
- Maintaining the highest standards of compliance, professionalism, and patient confidentiality
Benefits
- Competitive salary commensurate with experience
- Comprehensive health, dental, and vision coverage
- 401(k) with employer match
- Paid time off and observed holidays
- Professional development and continuing education support
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
