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 tasks, managing internal workflows, digital systems, insurance and billing preparation, and ensuring operational consistency across platforms. The ideal candidate is detail-oriented, tech-savvy, highly organized, proactive, and comfortable working independently in a fast-paced virtual healthcare environment.

Responsibilities

Administrative & Operational Support

• Manage and maintain provider schedules and virtual appointment templates.
• Monitor and update internal systems, documentation, and digital workflows to ensure operational accuracy.
• Coordinate onboarding logistics for new staff, including system access, credentialing documentation collection, and internal setup tasks.
• 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 follows established workflows, including entry into shared trackers, EHR, portals, and communication tools.

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, EHR, and portals.
• Prepare daily, weekly, and monthly billing batches ensuring accurate coding and charge capture data is passed to billing partners or internal billers.
• Assist in monitoring denied claims or rejections by coordinating with billing vendors or revenue cycle management teams for follow-up.
• Maintain payer records and documentation needed for audits or payer communication.

Systems & Process Management

• Manage user permissions and internal system configurations across clinic tools such as EHR, scheduling, and telehealth platforms.
• Support platform troubleshooting and coordinate with internal or external tech support for escalations.
• Document internal standard operating procedures and operational protocols to ensure consistency across workflows.
• Assist in monitoring compliance with HIPAA and virtual care regulations in all systems and workflows.

Internal Coordination & Communication

• Serve as an internal point of contact for operational questions from clinical or administrative staff.
• Support preparation for internal team meetings, generate reports, and track action items or key performance indicators as assigned.
• 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 a related field, or equivalent experience.
• Minimum of 2 years experience in healthcare operations, medical administration, or billing/insurance support; experience in telemedicine or virtual/remote work is a plus.
• Strong understanding of EHR systems, insurance workflows, and digital administrative tools.
• Detail-oriented with the ability to manage multiple complex workflows with minimal supervision.
• Comfortable working independently in a fully remote, technology-driven environment across time zones with a distributed team.

Preferred Skills

• Experience with EHR systems such as Canvas, Athenahealth, or similar platforms.
• Familiarity with insurance verification tools like Availity.
• Proficiency in cloud-based collaboration tools such as Teams, Zoom, and DoxyMe.
• Understanding of telehealth operations, billing best practices, and HIPAA compliance.
• Experience working with remote teams or digital health startups.
• Strong communication skills with the ability to interact effectively with patients, providers, and both technical and non-technical stakeholders.
• Highly developed organizational, planning, and oral and written communication skills.
• Ability to work effectively with others.

Work Environment

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

Additional Information

• 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 and Women, Individuals with Disabilities, and Protected Veterans are available for inspection by appointment during regular business hours.
• Reasonable accommodations are available for individuals with disabilities.
• Employment eligibility verification is required in compliance with federal law.