Medical Billing Specialist

This is a fully remote position, open to applicants in Texas.

📋 Description

• Assist with daily billing operations and back-office revenue cycle processes.

• Submit and monitor medical claims across various payer channels.

• Address claim rejections, denials, and unpaid claims until resolution is achieved.

• Investigate payer-related issues and follow up on claim statuses.

• Facilitate manual billing processes and operational tasks necessary for account management.

• Ensure billing accuracy throughout documentation, coding entries, and claim submission processes.

• Recognize patterns in denials or billing failures and report them to the wider RCM team.

• Assist with billing setup tasks related to onboarding new provider accounts.

• Clearly document work and keep organized records of claim actions and follow-ups.

• Elevate complex reimbursement, payer, or workflow issues to client-facing RCM team members.

• Contribute to the enhancement of SOPs and support scalable billing operations over time.

⛳️ Requirements

• Minimum of 2 years of experience in medical billing, claims management, or revenue cycle operations.

• Strong knowledge of denial management, claims follow-up, and payer processes.

• Experience with US healthcare billing practices.

• Excellent attention to detail and a strong sense of task ownership.

• Comfort in handling repetitive yet essential operational workflows.

• Proficient written English and the ability to communicate effectively with internal teams.

• Capability to work independently and efficiently manage a task queue.

• Experience in pharmacy, physician billing, or ambulatory care environments is advantageous.

• Background in back-office healthcare operations teams is a plus.

🏝️ Benefits

• Comprehensive Health Benefits: Full coverage for dental, vision, physical, and mental health, plus a health spending account to cover additional wellness needs.

• Group RRSP: Secure your future with our Group Registered Retirement Savings Plan (RRSP).

• Professional Development: We support your growth with a yearly budget dedicated to learning opportunities.

• Work-from-Home Stipend: A dedicated stipend to help set up and maintain your ideal home office.

• Office Closure for Holidays: Enjoy 1-2 weeks of company-wide office closure during the holidays.

• Company Retreats: Participate in exciting on-site team retreats for collaboration and bonding.