Medical Billing & Patient Collections Specialist - Remote in ID or TX

Temporary Position | Potential for Permanent Employment

Unruh Spine Centers, a busy multi-disciplinary healthcare practice specializing in Chiropractic, Acupuncture, Physical Therapy, and General Medicine, is seeking a detail-oriented and experienced Medical Billing & Patient Collections Specialist to join our remote billing team.

This is a temporary position with the possibility of transitioning into a permanent role based on business needs and employee performance. Permanent employment is not guaranteed.

The ideal candidate will have experience in medical billing, insurance claim follow-up, accounts receivable, and patient collections. We are looking for someone who is organized, dependable, comfortable working independently, and able to communicate professionally with patients and insurance companies.

Location & Employment Requirements

• Must currently reside in Idaho or Texas. Applicants residing in other states will not be considered.
  
  
  
• This is a fully remote position. All work must be performed from within the United States.
  
  
• Must be authorized to work in the United States and able to complete Form I-9 employment eligibility verification by presenting acceptable documentation as required by federal law.
  
  
• Must have a reliable internet connection, a suitable computer, and a quiet, professional workspace.
  
  
• Must be comfortable working remotely, communicating with management, and meeting deadlines without constant supervision.
  
  
• Must be available to work during scheduled Pacific Time business hours, generally 8a-4p or 9a-5p.
  
  

Key Responsibilities

Patient Billing & Collections

• Respond to patient questions regarding statements, balances, insurance payments, and billing discrepancies via phone, email, and text.
  
  
• Follow up on outstanding patient balances and delinquent accounts in a professional and courteous manner.
  
  
• Establish payment arrangements when appropriate and in accordance with office policies.
  
  
• Review patient accounts for accuracy and identify billing errors or necessary adjustments.
  
  
• Refer eligible delinquent accounts to collection agencies according to office procedures.
  
  
• Maintain accurate documentation of patient communications, collection efforts, and payment arrangements.
  
  
• Resolve patient billing disputes promptly while maintaining professionalism and excellent customer service.
  
  

Insurance Billing & Claims Management

• Review, process, and follow up on outstanding insurance claims to ensure accurate submission, timely processing, and payment.
  
  
• Investigate denied, rejected, underpaid, and unpaid claims.
  
  
• Submit corrected claims, appeals, and supporting documentation as necessary.
  
  
• Communicate with insurance representatives, adjusters, providers, and patients to resolve claim discrepancies and payment issues.
  
  
• Monitor insurance aging reports and prioritize outstanding accounts.
  
  
• Verify claim status, benefits, and payment information when necessary.
  
  
• Work with the billing and accounts receivable teams to ensure payments, adjustments, and account balances are accurately reflected.
  
  

Administrative & Team Support

• Maintain organized and accurate records of billing and collection activities.
  
  
• Communicate account concerns, discrepancies, findings, and recommendations to management and appropriate staff.
  
  
• Assist with monthly and quarterly accounts receivable reporting, collection tracking, and revenue cycle metrics.
  
  
• Work collaboratively with other billing team members to resolve outstanding issues.
  
  
• Maintain compliance with HIPAA, insurance requirements, and all applicable patient privacy regulations.
  
  

Qualifications

• High school diploma or equivalent required; college coursework, medical billing certification, or related education preferred.
  
  
• Previous experience in medical billing, insurance follow-up, or patient collections strongly preferred. Three or more years of healthcare billing experience is a plus.
  
  
• Experience with medical billing software, electronic health records (EHR), and insurance clearinghouses such as TriZetto or Waystar.
  
  
• Strong understanding of insurance claims processing, denials, appeals, corrected claims, and payment posting.
  
  
• Familiarity with CPT codes, claim modifiers, medical terminology, and insurance reimbursement procedures.
  
  
• Experience with chiropractic, acupuncture, physical therapy, or general medical billing is a plus.
  
  
• Experience with American Specialty Health (ASH) is highly desirable.
  
  
  
• Experience with insurance verification and claims submission processes.
  
  
• Strong computer skills and the ability to navigate multiple software programs efficiently.
  
  
• Excellent written and verbal communication skills, with the ability to interact professionally with patients, healthcare providers, and insurance companies.
  
  
• Strong attention to detail, organizational skills, and time management.
  
  
• Ability to manage multiple accounts, prioritize workloads, and meet deadlines.
  
  
• Ability to handle sensitive and confidential patient and financial information with discretion.
  
  
• Must be dependable, self-motivated, and comfortable working independently in a remote environment.
  
  

Position Details

• Location: Remote – Idaho or Texas residents only
  
  
• Employment Type: Temporary, with potential for permanent employment
  
  
• Schedule: During Pacific Time business hours
  
  
• Compensation: Based on experience
  
  

How to Apply

Please submit your resume highlighting your medical billing, insurance follow-up, and patient collections experience.

We are especially interested in candidates who have hands-on experience resolving denied claims, working insurance aging reports, navigating insurance clearinghouses, and communicating with patients regarding outstanding balances.

Please apply only if you currently reside in Idaho or Texas, are authorized to work in the United States, and meet the remote work requirements listed above.