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Role Description

This role involves working as a Healthcare Insurance or Billing Specialist remotely, focusing on U.S. medical billing and insurance processes.

• Insurance eligibility verification and detailed benefits breakdowns
• Obtaining, tracking, and following up on prior authorizations and referrals
• Submitting medical claims accurately and on time
• Conducting AR follow-up and resolving unpaid or denied claims
• Analyzing denials and submitting corrected claims or appeals
• Posting ERA/EOB payments and reconciling discrepancies
• Reviewing aging reports and prioritizing high-value or time-sensitive accounts
• Communicating directly with insurance payers to resolve billing issues
• Supporting patient coordination tasks such as scheduling when needed
• Maintaining accurate documentation within EMR/EHR and billing systems
• Ensuring HIPAA compliance across all communications and processes

Qualifications

• Minimum 1+ year of hands-on U.S. medical billing or insurance verification experience
• Familiarity with CPT, ICD-10, and basic HCPCS codes
• Experience working with Medicare, Medicaid, and commercial payers
• Background in AR follow-up and denial management
• Familiarity with prior authorizations and referrals
• Comfort communicating with insurance representatives and navigating payer portals
• Detail-oriented, organized, and process-driven
• Able to work independently in a structured remote environment
• Strong English communication skills (verbal and written)

Requirements

• Experience with EMR/EHR systems is a plus
• Familiarity with platforms such as Kareo, Athenahealth, AdvancedMD, eClinicalWorks, SimplePractice, Dentrix, or similar billing and practice management systems is preferred

Hours and Pay

• Location: Fully Remote (Contractor Basis)
• Schedule: Part-Time or Full-Time. Must be available within 8 AM – 6 PM in EST, CST or PST
• Pay Range: $1200 – $1,500 per month, depending on experience
• Equipment: BYO devices (we provide necessary software)