Certified Professional Coder

Job Summary

To support the revenue cycle team, the full-time remote Revenue Cycle Insurance Specialist will manage claims submissions, resolve billing inquiries, and ensure compliance with coding guidelines while serving residents of FL, GA, NC, NH, and TN.

Key responsibilities

• Triage and process invoices to obtain reimbursement for professional services, ensuring timely claims submissions and appeals
• Research and resolve inquiries from various departments regarding billing and payment issues, maintaining effective communication
• Review and correct insurance denials and errors, documenting actions in the automated billing system

Required qualifications

• 5 years of healthcare experience in medical billing or related fields
• High School Diploma or GED equivalent is required; Bachelor's degree in Healthcare, Finance, IT, or Education is preferred
• Certified Professional Coder (CPC) certification is required, with completion within 18 months of employment
• Knowledge of CPT and ICD coding and medical terminology
• Experience with medical systems is preferred