Medical Billing Specialist

Medical Billing Specialist

This is a full-time remote opportunity focused on supporting U.S. medical billing and Revenue Cycle Management (RCM) operations. You will take ownership of claims, denials, payer follow-ups, collections, and billing account activities while ensuring accuracy and timely resolution. The role requires strong hands-on knowledge of U.S. healthcare billing workflows and the ability to interpret EOBs, ERAs, claims, and payer requirements. You will work independently within established processes while managing multiple priorities and maintaining high productivity and quality standards. Strong attention to detail, analytical thinking, and professional communication will be essential when working with payers, clients, patients, and healthcare offices. Experience in high-volume environments, OBGYN billing, and leading EHR or practice management systems will provide a strong advantage. The position follows U.S. business hours and is designed for an organized, adaptable professional who can thrive in a remote environment.

Accountabilities

• Manage day-to-day billing activities across the revenue cycle, including claims processing, denial management, follow-ups, collections, and account documentation.
• Review claims for accuracy, including diagnosis and procedure code linkage, appropriate billing modifiers, and compliance with applicable payer requirements before submission.
• Analyze EOBs and ERAs to identify non-payment and denial reasons, investigate root causes, and take appropriate action to resolve rejected or denied claims.
• Prepare and submit initial and secondary claims in accordance with payer guidelines while ensuring billing information is complete and accurate.
• Manage claim queues and follow-up workflows, research payer portals and insurance websites, and proactively pursue unpaid or rejected claims through resolution.
• Support assigned client accounts by responding to billing-related questions, maintaining accurate account notes, and helping ensure outstanding balances are addressed promptly.
• Support collection activities and contribute to timely resolution of outstanding accounts while maintaining professional and customer-focused communication.
• Perform claims scrubbing and billing quality checks while consistently meeting productivity, accuracy, turnaround-time, and service expectations.
• Communicate professionally with insurance companies, clients, patients, and provider offices when required to clarify billing issues and facilitate resolution.
• Manage assigned responsibilities with minimal supervision, adapt quickly to established workflows, and maintain consistent performance in a remote working environment.

Requirements

• Minimum of 3 years of hands-on experience in U.S. medical billing and Revenue Cycle Management (RCM).
• Strong practical knowledge of medical billing workflows, including claims processing, denial management, claims follow-up, collections, and account management.
• Demonstrated ability to read and interpret Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs), identify payment issues, and determine appropriate next steps.
• Experience reviewing diagnosis and procedure code relationships, applying billing modifiers, and performing claims scrubbing and quality checks.
• Experience working with insurance payer portals, insurance websites, medical billing platforms, and related systems to research and resolve claims.
• Strong organizational, analytical, and problem-solving abilities, with a high level of attention to detail and accuracy.
• Strong written and verbal English communication skills, with the ability to interact professionally with payers, clients, patients, and healthcare offices.
• Experience working in high-volume medical billing environments is preferred, particularly where productivity and turnaround-time targets are important.
• OBGYN medical billing experience is strongly preferred.
• Experience with systems such as eClinicalWorks (eCW), Aprima, Medisoft, Veradigm, Nextech, CureMD, Office Practicum, or NextGen is an advantage.
• Previous remote work experience is preferred, along with the ability to work independently and maintain productivity with minimal supervision.
• Ability to work with Windows 10 or 11, a minimum Intel i5/Ryzen 5 or equivalent processor, at least 16 GB RAM recommended, and a minimum 256 GB SSD. Dual monitors are preferred.
• Reliable high-speed internet with ping/latency below 50 ms and download and upload speeds of at least 100 Mbps. Fiber internet with wired Ethernet/LAN is preferred.
• A quiet, professional workspace and noise-canceling headset are required. A webcam is also required, while a backup internet connection is preferred.

Benefits

• Fully remote, full-time position with the ability to work from India while supporting U.S. business hours.
• Opportunity to develop deeper expertise in U.S. medical billing, RCM, claims management, denial resolution, and healthcare account operations.
• Exposure to complex billing workflows, payer requirements, collections, and healthcare practice management systems.
• Potential to strengthen experience across U.S. healthcare revenue cycle operations and build expertise with leading EHR and practice management platforms.
• A structured remote setup designed for independent professionals who value flexibility, focused work, and established workflows.
• Salary, healthcare, paid leave, and other employee benefits may be provided according to the partner company's applicable policies.