Medical Claims Billing Specialist - Case Management - Remote

Overview

The Medical Claims Billing Specialist - Case Management is responsible for the accurate and timely processing of medical claims, managing inquiries, and resolving issues related to claims in a hybrid work environment.

In Short

• Hybrid full-time role with in-office requirements on certain days.
• Responsible for denial management and resolving claims issues.
• Manage Salesforce inquiries and analyze trends.
• Collaborate with internal teams to optimize revenue cycle functionality.
• Drive towards achieving department KPIs.
• Requires 3+ years of medical claims experience.
• Salesforce case management experience is mandatory.
• Advanced Excel skills preferred.
• Must comply with HIPAA regulations.
• Eligible for an annual bonus based on performance.

Requirements

• High School diploma required.
• 3+ years of experience in medical billing.
• Understanding of revenue cycle performance drivers.
• Excellent communication skills.
• Ability to work independently and multi-task.
• Problem-solving and analytical skills are essential.
• Experience with Athena EMR preferred.
• Must have a quiet workspace with high-speed internet.
• Willingness to train and mentor team members.
• Comfortable speaking in front of groups.

Benefits

• Competitive hourly rate.
• Eligible for annual performance-based bonus.
• Comprehensive health benefits including dental and vision.
• 401K plan.
• Paid time off.
• Wellness programs.
• Expense reimbursement for remote work costs.
• Supportive work environment promoting diversity.
• Opportunities for career growth.
• Access to training and development resources.