Medical Billing Specialist - Remote

About Our Client:
The organization operates within the healthcare industry, focusing on community-based care and serving diverse populations across multiple states. It addresses the challenge of delivering consistent, high-quality medical billing and revenue cycle services to support hospitals and healthcare facilities. With a broad network that includes hospitals and rehabilitation centers, the program aims to improve community health through efficient management of healthcare revenue processes.
About the Opportunity:
The MEDICAL BILLING SPECIALIST role is designed to support revenue cycle operations by managing billing issues and resolving claim denials for assigned clients. This position is responsible for overseeing the billing cycle to ensure accuracy, compliance, and timely resolution of financial matters, thereby contributing to the financial health and operational efficiency of the healthcare facilities served.
Responsibilities:
Resolve billing issues and claim denials requiring clinical expertise.
Manage all aspects of the billing cycle for assigned clients, including charges, payments, and accounts receivable metrics.
Meet deadlines for customer and company requirements.
Develop processes and procedures for assigned accounts.
Monitor industry trends affecting billing and revenue.
Communicate trends and resolutions to clients regularly.
Collaborate with departments to ensure billing accuracy and efficiency.
Deliver reports on issues like payer denial trends and inaccurate charges.
Ensure compliance with relevant regulations and standards.
Support additional projects as assigned by operations leadership.
Requirements:
High school diploma or equivalent.
1-2 years of experience in medical accounts receivable.
Knowledge of ICD10 and CPT coding.
Proficiency with Excel, Word, Outlook, and medical billing software.
Understanding of full cycle revenue models and industry audit practices.
Ability to interpret medical records and related documentation.
Strong technical skills with PM/EHR software and Microsoft Office.
Ability to identify and resolve workflow trends.
Preferred experience with Athena, behavioral health, and EPIC systems.
Pay Range and Compensation Package:
Pay range: $18 to $22 per hour, depending on experience.
Final compensation based on education, qualifications, experience, and work location.
Benefits & Perks:
Multiple levels of medical, dental, and vision coverage.
Life, accident, critical illness, hospital indemnity insurance.
Short- and long-term disability insurance.
Paid family leave and paid time off.
Tuition assistance and loan assistance.
401(k) retirement plan with company match.
Mental, physical, and financial wellness programs including gym memberships and virtual care.
Opportunities for professional development and career advancement.
Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.
Note:
RemoteHunter is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.

Work arrangement
Yes