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Medical Billing Specialist (Remote)
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Job Description
- Req#: R2025-243262
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Competitive pay with access to comprehensive benefits
- Opportunity for career advancement and growth within the organization
- Fully remote position with occasional travel for training and meetings
- Supportive work-life balance
- Chance to work with a diverse team dedicated to healthcare excellence
What to Expect (Job Responsibilities):
- Submit and monitor claims to ensure timely and accurate reimbursement
- Perform follow-up on outstanding claims and resolve denials
- Post payments and reconcile accounts, including 835 electronic remittance files
- Ensure compliance with Medicare, insurance, and regulatory billing guidelines
- Communicate with payers, facilities, and internal teams to resolve billing discrepancies
What is Required (Qualifications):
- Strong medical billing experience, particularly within skilled nursing, assisted living, direct bill, insurance, and private pay
- Experience with Medicare billing and commercial insurance billing
- Hands-on experience with Net Health and Waystar
- Strong understanding of revenue cycle processes
- Proficiency in electronic payment/835 formatting
How to Stand Out (Preferred Qualifications):
- Previous experience in claims submission, follow-up, and denial management
- Familiarity with compliance standards related to Medicare and insurance billing
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