Certified Billing Specialist

Job Summary

To support surgical hospital and ambulatory surgery center operations, the full-time remote Billing and Payment Resolution Specialist will manage billing charges, ensure accurate claims transmission, and resolve payment discrepancies while collaborating with the revenue cycle team.

Key responsibilities

• Review and validate billing charges for accuracy and compliance with coding guidelines
• Submit claims electronically and monitor claims transmission reports to resolve errors
• Post payments accurately and reconcile daily cash receipts while maintaining high accuracy rates

Required qualifications

• High school diploma or GED required; Associate's degree in a related field preferred
• Current certification as CPB (Certified Professional Biller) or CRCR (Certified Revenue Cycle Representative) required
• Minimum 3-5 years of healthcare billing experience in surgical hospital or ASC environments
• Professional-level experience with Waystar revenue cycle management platform
• Strong knowledge of medical coding (CPT, ICD-10, HCPCS) and healthcare reimbursement methodologies