Medical Billing Specialist

Job Summary

To support efficient billing processes, the full-time remote Medical Billing Specialist will manage referral processing, ensuring accuracy and timeliness while reducing denial rates and improving collection efforts.

Key responsibilities:

• Review patient files for completeness, audit claims, and submit primary and secondary billing to payers
• Communicate with franchise partners and document case activity to resolve outstanding claims issues
• Obtain prior authorizations and track progress to ensure timely patient access to services

Required qualifications:

• High school diploma or equivalent with specialized training in pharmacy/medical billing and collections
• Two years of experience in Intake, Medical Billing, and/or Collections
• Two years of experience in home infusion therapy
• Coding Course Certification is highly preferred
• Proven understanding of billing processes and systems for all payer types