Billing Specialist - Remote

Overview

This role is for a Billing Specialist who will be a key member of the Operations team supporting a fully virtual, telemedicine-based clinic. The position focuses on administrative and operational support, insurance and billing preparation, and maintaining consistency across digital platforms.

Responsibilities

Administrative & Operational Support

• Manage provider schedules and virtual appointment templates.
• Monitor and update internal systems, documentation, and digital workflows.
• Coordinate onboarding logistics for new staff, including system access and credentialing documentation.
• Track and follow up on administrative deadlines, credentialing timelines, vendor tasks, and recurring operational processes.
• Ensure all incoming work is processed within specified SLAs and entered into shared trackers and systems such as Teams, EHR, and telehealth portals.

Billing & Insurance Administration

• Perform insurance eligibility checks and verify patient coverage using payer portals or clearinghouses.
• Accurately input and update patient insurance and demographic information in shared trackers and electronic health records.
• Prepare billing batches on a daily, weekly, and monthly basis, ensuring accurate coding and charge capture.
• Assist in monitoring denied claims or rejections and coordinate follow-up with billing vendors or revenue cycle management teams.
• Maintain payer records and documentation for audits or communication.

Systems & Process Management

• Manage user permissions and system configurations across clinic tools including EHR, scheduling, and telehealth platforms.
• Support platform troubleshooting and coordinate with technical support for escalations.
• Document internal standard operating procedures and operational protocols.
• Assist in monitoring compliance with HIPAA and virtual care regulations.

Internal Coordination & Communication

• Serve as an internal point of contact for operational questions from clinical and administrative staff.
• Support preparation for internal meetings, generate reports, and track action items or KPIs.
• Coordinate recurring administrative functions such as provider onboarding trackers, insurance renewals, and system audits.

Qualifications

Education and Experience

• Bachelor’s degree in Business Administration, Healthcare Administration, Health Informatics, or related field, or equivalent experience.
• Minimum of 2 years’ experience in healthcare operations, medical administration, or billing/insurance support.
• Experience with telemedicine or virtual work environments is a plus.
• Strong understanding of EHR systems, insurance workflows, and digital administrative tools.
• Detail-oriented with the ability to manage multiple complex workflows independently.
• Comfortable working remotely in a tech-forward environment across time zones.

Preferred Skills

• Experience with EHR systems such as Canvas, Athenahealth, or similar.
• Familiarity with insurance verification tools like Availity.
• Proficiency in cloud-based collaboration tools such as Teams, Zoom, and DoxyMe.
• Knowledge of telehealth operations, billing best practices, and HIPAA compliance.
• Experience working with remote teams or digital health startups.
• Strong organizational, planning, and communication skills.
• Ability to work effectively with diverse stakeholders including patients, providers, and technical and non-technical staff.

Work Environment

• Fully remote position requiring a suitable home office setup to maintain focus and productivity.
• Home office equipment provided includes computer, keyboard, mouse, and monitors.
• Reliable internet service is required to avoid service interruptions.
• The role involves everyday risks or discomforts that require normal safety precautions.

Equal Opportunity and Employment Eligibility

• The employer is an equal opportunity organization and considers all qualified applicants without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, veteran status, or disability.
• Affirmative Action Plans for minorities, women, individuals with disabilities, and protected veterans are available for inspection by appointment.
• Reasonable accommodations are available for individuals with disabilities.
• Employment eligibility verification is required in compliance with federal law.