Medical Billing & Collection Specialist- Part-Time

American Addiction CentersHuntersville, NC
$22 - $33Remote

About The Position

This is a part-time role for a Medical Billing & Collection Specialist in the Ambulatory Surgery Center. The position involves reviewing medical records for accuracy, assigning correct codes, overseeing billing processes, and collecting owed balances. The specialist will also post payments, adjudicate EOBs/RAs, handle claim denials and appeals, and stay informed about government payer regulations. Active involvement in KPIs related to financial performance is expected.

Requirements

  • High school diploma required.
  • 2-5 years' experience in a medical environment required.
  • Strong medical terminology knowledge, preferably in the surgical realm.
  • Thorough working knowledge of CPT and ICD-10 codes.
  • Ability to process outgoing claims, write billing edits, transmit transaction files, and process payments.
  • Strong typing skills.
  • Significant computer experience, including email, copier, and Microsoft Office.
  • EMR experience required (can be from a physician practice, including both clerical and clinical functions).
  • Knowledge of billing rules and regulations through various governmental programs is required.
  • Pertinent knowledge related to commercial claim submission.
  • Firm grasp of all HIPAA guidelines.

Nice To Haves

  • An Associate degree, suitable Trade School or Coding Certification preferred.
  • Knowledge of ASC billing preferred.

Responsibilities

  • Review medical records for documentation accuracy and assign the correct CPT and ICD-10 codes to the claim.
  • Perform and oversee all billing processes, including primary/secondary and rebilling, and manage claim edits on internal and external software systems.
  • Maintain knowledge of rules and regulations for government payers (Medicare, Medicaid, VA, etc.).
  • Check clearinghouse transmissions daily to ensure successful file transmission.
  • Collaborate with vendors to resolve issues impeding workflow.
  • Follow up on billed patient accounts to collect owed balances.
  • Post payments received via cash, credit cards, EFT, and third-party vendors.
  • Review and adjudicate EOBs/RAs to verify correct payer payment.
  • Handle claim denials efficiently and effectively, including managing appeals.
  • Remain actively involved in KPIs associated with the financial performance of the Surgery Center.

Benefits

  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program
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