Medical Billing Specialist

Job Summary

A company is looking for a Medical Billing & Eligibility Specialist for a 6-month contract.

Key Responsibilities

• Manage eligibility and co-pay configuration, collaborating with Professional Services to ensure accuracy
• Oversee claims management by reviewing clinical documentation and ensuring clean claims submission
• Analyze denial patterns and submit appeals to overturn denied claims on behalf of the Virtual Care Medical Group

Required Qualifications

• Active CPC (Certified Professional Coder) or CPB (Certified Professional Biller) certification is highly preferred
• 3+ years of experience in medical billing, particularly in a high-volume environment or HealthTech startup
• Proficiency with Stedi or similar Real-Time Eligibility (RTE) vendors and data interpretation
• High level of data literacy and experience using spreadsheets and visualization tools
• Experience in translating complex billing logic for non-technical stakeholders