Health Billing Specialist

The Health Billing Specialist is responsible for managing medical billing processes, insurance claims, payment posting, and account reconciliation within a healthcare or health services environment. This role ensures accurate and timely billing operations, compliance with healthcare regulations, and effective communication with patients, insurance providers, and internal teams.

The Health Billing Specialist plays a critical role in maintaining revenue cycle efficiency and minimizing billing errors in a fully remote environment.

This is a fully remote position; however, applicants must currently reside in the United States and be legally authorized to work in the U.S. Applications from individuals residing outside the United States will not be considered.

Key Responsibilities

• Prepare, review, and submit medical claims to insurance companies
• Verify patient insurance coverage and eligibility
• Process payments, adjustments, and account reconciliations
• Follow up on denied or unpaid claims to ensure resolution
• Communicate with insurance providers regarding claim status and disputes
• Maintain accurate billing records and patient account information
• Ensure compliance with healthcare billing regulations and standards
• Support patients with billing inquiries and payment arrangements
• Generate billing reports and assist in revenue cycle tracking
• Collaborate with healthcare providers and administrative staff

Required Qualifications

• High school diploma required; associate or bachelor's degree in Healthcare Administration, Finance, or related field preferred
• 2–5 years of experience in medical billing, healthcare finance, or revenue cycle operations
• Strong understanding of insurance billing processes and terminology
• Familiarity with medical coding concepts (CPT, ICD-10, HCPCS)
• Excellent attention to detail and accuracy
• Strong communication and problem-solving skills
• Ability to manage sensitive financial and patient data confidentially
• Proficiency in billing and office software systems

Preferred Qualifications

• Experience with healthcare billing platforms such as Epic Systems, Cerner, or Athenahealth
• Familiarity with medical coding tools or systems such as 3M CodeFinder
• Knowledge of HIPAA compliance and healthcare privacy regulations
• Certification such as CPC (Certified Professional Coder) or CBCS (Certified Billing and Coding Specialist) is a plus
• Experience in hospitals, clinics, or insurance organizations

Benefits

Eligible employees may receive the following benefits:

• Comprehensive medical, dental, and vision insurance
• 401(k) retirement plan with employer matching
• Paid time off (PTO) including vacation, holidays, and sick leave
• Life insurance and disability coverage
• Flexible remote work environment
• Certification and professional development support
• Employee wellness and assistance programs
• Potential performance-based bonuses

Work Authorization Requirement

Applicants must meet the following requirements:

• Must currently reside in the United States
• Must be legally authorized to work in the United States
• Applications from individuals residing outside the U.S. will not be considered