Hospital Billing Specialist

Job Description

Job Description

Job Title: Medical Billing Specialist

Location: Remote (U.S. based)

Schedule: Full-Time, 8 hours/day between 7:30am - 5:30pm Eastern Standard Time (EST)

About the Role:
Join JTS Health Partners as an Medical Billing Specialist and play a vital role in enhancing cash performance for hospitals and healthcare organizations. Your main focus will be to identify and resolve underpayments, appeal claim denials, and provide exceptional support to our clients through your attention to detail and problem-solving abilities.

Key Responsibilities:
- Analyze accounts to identify underpayments and resolve billing discrepancies.
- Review Explanation of Benefits (EOBs), remittances, and payer documentation for claim resolutions.
- Submit appeals and reconsiderations for denied or underpaid claims.
- Communicate effectively with insurance payers, patients, and clients via phone and written correspondence.
- Utilize portals such as Availity, Optum, MMIS, and Medicare contractors.
- Work with Accounts Receivable (AR) reports, process corrected claims, and resolve credit balances.
- Apply Lean process improvement principles to daily tasks.
- Ensure compliance with standard work procedures and organizational policies.
- Collaborate with a supportive team dedicated to performance excellence.

Minimum Qualifications:
- 1+ year of experience in hospital back-end revenue cycle functions (denials, billing, cash applications, etc.) or 2+ years in an accounting environment.
- Proficiency in Excel and MS Office tools.
- Knowledge of claim submission, insurance follow-up, and remittance analysis.
- Strong analytical, communication, and time management skills.
- Self-starter with the ability to work independently.
- High School diploma or GED required.

Preferred Qualifications:
- Associate or Bachelor's Degree in Healthcare Administration, Business, or a related field.
- HFMA Certified Patient Account Representative (CPAR or ACPAR).
- Certified Revenue Cycle Representative (CRCR).

Perks & Benefits:
- 100% Remote: Work from the comfort of your home with a secure setup.
- Small team culture with big company benefits.
- Paid Time Off and Holidays.
- 401(k) with employer match.
- Annual profit sharing (awarded 14 out of the last 15 years).
- A supportive environment that promotes career growth and skill development.

TRC Talent Solutions is proud to be an Equal Opportunity Employer (EOE). All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. At TRC, we take pride in fulfilling our opportunity to add value to our client's business as their staffing partner, while working tirelessly to connect thousands of individuals each year with work opportunities where they can meet the needs of their families and have the potential to build their careers.