Careerscape is recruiting on behalf of our client, a growing healthcare organization, for an entry-level Medical Billing (Claims) Specialist. This is a full-time, fully remote opportunity for someone ready to launch a career in healthcare revenue cycle management. You will help ensure claims are submitted accurately, followed up on promptly, and paid correctly, with training and mentorship to help you grow.
The day-to-day is steady and detail-driven. You will work in billing software, review claims, resolve denials, and communicate with payers and teammates in a virtual setting. People who thrive here are organized, curious, comfortable working independently from home, and take pride in getting the numbers right.
Responsibilities
- Prepare and submit medical claims to insurance payers electronically and by paper when required
- Review claims for accuracy, completeness, and correct CPT, ICD-10, and modifier coding before submission
- Verify patient demographics and insurance eligibility and benefits
- Post payments, adjustments, and denials to patient accounts accurately
- Follow up on unpaid, rejected, and denied claims with insurance carriers
- Prepare and submit appeals and corrected claims within payer deadlines
- Identify billing errors and trends and recommend process improvements
- Respond to patient and provider billing questions with professionalism and empathy
- Maintain confidentiality and comply with HIPAA and company policies
- Document all account activity clearly in the billing system
Requirements
- High school diploma or equivalent required; associate degree or medical billing certificate a plus
- Six months or more of experience in medical billing, healthcare administration, or a related setting preferred; training provided for motivated newcomers
- Basic familiarity with medical terminology, CPT, and ICD-10 coding
- Understanding of insurance claims, EOBs, and the revenue cycle
- Strong attention to detail and accuracy
- Comfortable with computers, Microsoft Office, and learning new billing software
- Clear written and verbal communication skills
- Ability to work independently and manage time in a remote environment
- Reliable high-speed internet and a quiet home workspace
Benefits
- Medical, dental, and vision insurance
- 401(k) with company match
- Paid time off and paid holidays
- Fully remote work from home
- Company-provided equipment or home office stipend
- Paid training and onboarding
- Career growth and certification support
- Flexible scheduling within core business hours
- Employee assistance program