Job Overview

Our client is looking for a dedicated Medical Billing & Collections Specialist to manage medical billing and collections, ensure accurate claim submission, resolve discrepancies, and follow up on unpaid claims. In this remote role, you will verify patient eligibility, investigate denials, submit appeals, and communicate with insurance carriers and patients to maintain efficient revenue cycle operations.

Schedule

 Monday - Friday, 8:30 AM - 5PM PST with 1 hour unpaid break · PST 

Responsibilities

• Verify patient demographics, insurance eligibility, and billing information to ensure accurate claim submission.
• Review claims for accuracy and compliance with payer guidelines while researching and resolving billing discrepancies.
• Maintain knowledge of CPT, ICD-10, and HCPCS coding standards to support billing processes.
• Follow up on unpaid or underpaid claims, monitor aging reports, and prioritize accounts for timely resolution.
• Investigate claim denials, identify root causes, and submit appeals with supporting documentation.
• Communicate with insurance carriers and patients regarding claim status, reimbursements, outstanding balances, and payment arrangements.
• Document collection activities, meet productivity goals, and assist with accounts receivable reduction projects.

Requirements

• Minimum of 3 years of experience in medical billing and collections.
• Proficiency in medical billing software as well as Microsoft Word and Excel for data entry and basic reporting.
• In-depth knowledge of CPT, ICD-10, and HCPCS coding systems, with a working understanding of eligibility and authorization processes.
• Reliable internet connection and VPN access, with a Windows OS device required.
• Experience using payer websites to review claim status and support collections follow-up.

Nice to Have

• Certified Professional Coder (CPC) certification is a plus.
• Proficiency in eClinicalWorks is preferred.

Independent Contractor Perks

• Permanent work from home
• Immediate hiring
• Health Insurance Coverage for eligible locations

Note

Please click the "Apply" button to complete your application, including the assessment questions, technical check, and voice recording. Your hourly pay rate will be established based on your performance in the application process; submissions with all requirements fulfilled will receive priority review.

One application, multiple possibilities: When you apply, our team reviews your background against all current openings, not just this one! If a different role fits your skills, we'll get in touch! We also encourage you to keep exploring our job board and apply directly to any position that excites you.