Medical Billing Specialist

Job Summary

To support a growing healthcare practice, the remote Medical Billing Specialist will manage the entire claims process, ensuring accurate submissions and resolving billing issues while working closely with clinical and administrative teams.

Key responsibilities

• Turn clinical encounter data into clean, compliant claims and submit them to payers accurately and timely
• Investigate and resolve billing issues, including denials and discrepancies, while improving workflows to prevent recurrence
• Utilize systems like eCW, Epic, Waystar, and AdvancedMD to pull reports and audit billing processes for continuous improvement

Required qualifications

• 5+ years of medical billing experience in primary care or managed care settings
• Strong experience with encounter data and claims workflows
• Hands-on knowledge of eCW and Epic (or similar systems)
• Experience using clearinghouses like Waystar or AdvancedMD
• Understanding of HMO/PPO workflows and payer rules