Medical Billing Specialist

ModuleMD; Grand Blanc (MI); Remote; USD 45,000 - 65,000; Full time

Job summary

A leading healthcare solution provider is seeking a Medical Billing Specialist for a full-time remote role. You will manage billing processes, ensure accurate coding, and work with insurance providers to maximize revenue. Candidates should have at least 3 years of experience in medical billing and a strong understanding of compliance and coding standards.

Qualifications

• Minimum of 3 years' experience in medical billing & coding required.
• Proficient in managing electronic medical records.
• Knowledge of HIPAA regulations and billing compliance standards.

Responsibilities

• Manage billing processes and handle insurance claims.
• Accurately generate and submit insurance claims.
• Review charges for completeness and coding accuracy.

Skills

Effective communication skills

Basic to advance computer skills

Knowledge of CPT, ICD-10, and HCPCS codes

Understanding of payer policies

Familiarity with EHR/EMR systems

Creative problem-solving skills

Multitasking

Education

Associate’s degree or higher

Tools

MS Office Suite

Job description

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Company Description

Job Description

***Work Mode - Remote***

Company Description

ModuleMD is a leading provider of innovative healthcare solutions, specializing in Electronic Health Records (EHR) and AI-driven tools designed to enhance clinical workflows. ModuleMD is dedicated to streamlining medical processes and improving patient care through cutting-edge technology. Our solutions are trusted by healthcare professionals seeking efficiency and accuracy. Join our dynamic team to contribute to advancing healthcare technology.

Role Description

This is a full-time remote role for a Medical Billing Specialist. The Medical Billing Specialist will be responsible for managing billing processes, handling insurance claims, processing denials, and ensuring accurate application of medical coding (ICD-10). This role also involves working with Medicare and other insurance providers to maximize revenue and ensure compliance.

Responsibilities

• Interact professionally with medical offices and their patients on behalf of ModuleMD providing information about their insurance payments and claims processing.
• Provide medical offices with education on best practices in billing to improve overall success.
• Accurately generate and submit insurance claims (CMS-1500 or UB-04 forms).
• Review charges for completeness and coding accuracy.
• Ensure timely submission to clearinghouses or payers.
• Review rejections and file corrected claims.
• Research and appeal denied claims.
• Access carrier websites for claim and eligibility information
• Interpret and process Explanation of Benefits.
• Monitor client accounts and provide weekly updates identifying issues and possible resolutions.
• Post payments
• Bill patients for responsible portions and have the ability to relay information regarding copays, deductibles and coinsurance.
• Answer patient calls regarding statements and balances.
  
  

Required Qualification & Expertise

• Associate’s degree or higher
• Minimum of 3 years' experience in medical billing & coding
• Proficient working on electronic medical records
• Experience in Allergy & Immunology billing is preferred
• Understanding of the full revenue cycle
• Ability to track and follow up on A/R
• Must have compliance knowledge-HIPAA regulations and patient privacy, Billing and coding compliance standards
  
  

Skills Required

• Effective communication skills
• Basic to advance computer skills: MS Office Suite - Word, Excel
• Knowledge of CPT, ICD-10, and HCPCS codes
• Understanding of payer policies (Medicare, Medicaid, commercial insurers)
• Familiarity with EHR/EMR systems
• Claim submission processes (electronic and paper) Payment posting and reconciliation
• Denial and appeal handling
• Use of clearinghouses and payer portals (e.g., Availity, Change Healthcare)
• Basic medical terminology
• Proficiency in Microsoft Excel or billing software reporting tools
• Creative problem-solving skills
• Work Independently as well as be collaborative team member
• Multitasking
  
  

Company Description

ModuleMD is a leading AI-powered EHR and Practice Management software provider offering integrated Revenue

Cycle Management services, with a strong focus on Allergy, Immunology, and Respiratory Health. We are on a

mission to empower practices to reach new heights and deliver outstanding healthcare experiences through cuttingedge technology and insightful, knowledge-based service

ModuleMD is a leading AI-powered EHR and Practice Management software provider offering integrated Revenue Cycle Management services, with a strong focus on Allergy, Immunology, and Respiratory Health. We are on a mission to empower practices to reach new heights and deliver outstanding healthcare experiences through cuttingedge technology and insightful, knowledge-based service

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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