Billing Specialist - Remote - Nationwide

Overview

This role supports a healthcare organization that manages medical billing operations for 890 practices nationwide, serving 14.5 million patients annually. The organization focuses on ensuring accurate insurance coverage, proper account classification, and resolution of billing exceptions to maintain financial integrity in healthcare services.

Responsibilities

• Identify and enter correct Financial Class into the billing system.
• Post extracts and correct validation errors.
• Review documentation to determine correct payer accounts.
• Research eligibility to verify insurance coverage.
• Ensure accurate payer mapping and identify contract discrepancies.
• Analyze decision logs and pre-submission errors; recommend solutions.
• Process denials, electronic rejections, returned mail, and write-offs.
• Manage Laserfiche folders to ensure timely documentation processing.
• Create exception reports for Work in Process (WIP) items.
• Process activity codes for account classification and suspended issues.
• Retrieve missing documentation from various sources.
• Complete daily logs and time tracking.
• Train team members as needed.

Requirements

• High school diploma or GED.
• Minimum one year of experience in billing operations.
• Preferred experience in the healthcare industry.
• Knowledge of payer Financial Classifications and account exception processes.
• Ability to interpret Explanation of Benefits (EOB).
• Strong communication skills for reporting trends.
• Problem-solving abilities related to billing challenges.
• Proficiency in creating and analyzing billing reports.
• Basic math skills.
• Attention to detail and accuracy.
• Ability to prioritize tasks and work independently.
• Basic Microsoft Office skills.
• Compliance with Revenue Cycle Management billing policies.

Compensation & Benefits

• Base salary starting at $17.12 per hour (excluding benefits or potential bonuses).
• Eligibility for an annual corporate Success Sharing bonus based on organizational performance.
• Final compensation determined by skills, education, and experience.
• Health insurance options.
• Dental and vision coverage.
• HSA/FSA, life and AD&D coverage.
• 401(k) retirement plan with $1.20 match per dollar up to 6% plus profit-sharing contributions (eligible after 18 months).
• Generous paid time off starting at 3-4 weeks annually.
• Student loan refinancing discounts.
• Professional and career development programs.
• Employee Assistance Program and travel assistance.
• Wellness programs.
• Flexible work hours and virtual community engagement activities.

Equal Opportunity

The organization is an equal opportunity employer committed to creating an inclusive environment. All qualified applicants will receive consideration without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.

Location

Remote position supporting healthcare billing operations nationwide.