Remote Medical Billing Specialist

Job Summary

To support quality healthcare delivery, the full-time Remote Medical Customer Service Specialist will process, review, and verify reimbursement claims, ensuring accuracy and compliance while collaborating with internal teams to enhance workflow efficiency.

Key responsibilities

• Processes and verifies reimbursement claims for accuracy and compliance with payer guidelines
• Reviews and resolves claim discrepancies, taking appropriate action on incorrect payments or denials
• Collaborates with revenue cycle teams to investigate claim denials and appeals as necessary

Required qualifications

• H.S. Diploma or GED required
• Associate Degree or coursework in Accounting, Finance, Healthcare Administration, or related field preferred
• 0-1 years of experience in medical billing, reimbursement, claims processing, or accounts receivable required
• Experience with payer reimbursement policies and healthcare revenue cycle operations preferred