JOB DESCRIPTION

Job Description

Medical Billing Specialist – 100% Remote $18–22/hour | Full-Time | Permanent Opportunity We're growing and looking for experienced Medical Billing Specialists to join our fully remote team! In this role, you will focus on back-end A/R follow-up, denial resolution, and aged account remediation for Hospital and/or Physician Billing accounts. Our team partners with healthcare providers and hospital organizations to deliver revenue cycle and accounts receivable support services. If you thrive in a fast-paced environment, enjoy problem solving, and have experience working insurance denials and unpaid claims, we'd love to hear from you. Why Join Us?

• 100% Remote
• Flexible Schedule
• Health, Dental, Vision, and Life Insurance
• PTO, Paid Sick Leave, and Paid Holidays
• Career Growth Opportunities

What You’ll Do:

• Perform second-tier insurance account follow-up on outstanding A/R balances
• Resolve denied, underpaid, and unresolved insurance claims
• Resolve aged accounts and payer issues
• Work high-dollar accounts and conduct detailed account research
• Review UB-04 and/or HCFA 1500 claims for billing accuracy
• Investigate eligibility discrepancies, coding issues, payer denials, and reimbursement variances
• Communicate professionally with insurance payers, clients, and internal teams
• Identify payer trends, workflow issues, and barriers to resolution
• Submit corrected claims, rebills, secondary billing, and appeals as needed
• Document account activity and correspondence thoroughly and accurately
• Escalate payer errors appropriately for reprocessing
• Work with commercial and government payers
• Maintain productivity and quality standards

Experience & Education:

• 1-2 years of Healthcare Revenue Cycle experience required
• Experience with Hospital Billing and/or Physician Billing required
• Strong knowledge of denials, insurance follow-up, UB-04 and/or HCFA 1500 claims
• Experience using systems like Epic, Cerner, Meditech, McKesson, Allscripts, Soarian, etc.
• Proficiency in Microsoft Office and other internet-based systems
• Strong ability to multitask across multiple applications and systems
• High School Diploma or equivalent required; Associate's or Bachelor's Degree preferred

Physical Requirements:

• Ability to sit for extended periods of time
• Frequent use of hands and fingers for typing and computer work
• Ability to communicate via phone and computer
• Occasionally lift up to 15 pounds