Medical Billing Specialist - Remote

Overview

We are seeking an experienced and detail-oriented Medical Billing Specialist to join our Revenue Cycle Management (RCM) team. The ideal candidate will have a strong background in medical billing, claims review, and payment reconciliation within a clinical or DME setting. This role requires accuracy, attention to detail, and a proactive approach to maintaining clean claims, resolving denials, and ensuring timely reimbursement.

In Short

• Review and resolve eligibility issues daily.
• Maintain accuracy of insurance IDs and uploads in Phreesia.
• Monitor and clear all HOLD and MGRHOLD claims.
• Review and resolve 90+ day old claims.
• Support pre-collections in Phreesia as needed.
• Review and reconcile Optum Pay and ECHO payments.
• Manage RTM billing at the start of each month.
• Prepare and submit monthly financial reports.
• Track and report on Nurse Practitioner productivity.
• Strong understanding of claims processing and denial management.

Requirements

• 2+ years of experience in medical billing or revenue cycle management.
• Experience with AthenaHealth, Phreesia, or similar EHR/PM systems.
• Proficient in interpreting EOBs, payment reports, and denial codes.
• Excellent attention to detail and ability to work independently.
• Strong Excel and data entry skills.
• Team-oriented with strong communication skills.

Benefits

• 100% Remote job.
• Competitive salary.
• Opportunities for professional development.
• Supportive team environment.