Medical Billing Specialist
New
Remote within the U.S.; preference for those located in Eastern or Central time zones., Eastern or Central time zones preferredFull-TimeMiddle
Salary$21–$23 per hour, based on experience and qualifications
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Job Details
- Experience
- 5+ years
Requirements
- 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 systems.
- Experience using clearinghouses like Waystar or AdvancedMD.
- Understanding of HMO/PPO workflows and payer rules.
- Analytical and detail-oriented mindset.
- Ability to support physician billing in a primary care setting.
- Knowledge of managed care and value-based billing nuances, including capitation models.
- Understanding of CPT II codes for Quality and HEDIS reporting.
Responsibilities
- Transform clinical encounter data into clean, compliant claims.
- Submit claims to payers with precision to maintain the revenue cycle.
- Investigate and resolve billing denials, rejections, and discrepancies.
- Trace and rectify workflow problems at their source in intake, coding, or submission.
- Operate fluently across eCW, Epic, Waystar, and AdvancedMD systems.
- Audit billing workflows and partner with clinical and administrative teams to ensure data integrity.
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