MEDICAL BILLING SPECIALIST

OCHIN, Inc.; United States; On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Comprehensive benefits

Work from home flexibility

Vaccination support

Job summary

OCHIN is hiring a Billing Specialist to provide revenue cycle and account management services for its member clinics. This 100% remote position requires strong attention to detail and communication skills for resolving financial issues and ensuring compliance.

Applicants should have experience in billing processes and will contribute to key performance indicators by effectively managing claims. Benefits include a flexible work environment and the opportunity for continuous professional development.

Qualifications

• Experience in billing and/or coding revenue cycle experience preferred.
• Working knowledge of Medicare, Medicaid, and private insurance billing processes.
• Prior experience billing for California is highly preferred.
• Experience with FQHC is preferred.
• Acute Care hospital experience is required.

Responsibilities

• Process claims and manage accounts receivable.
• Investigate and resolve claim denials to enhance reimbursement outcomes.
• Collaborate with stakeholders to clarify billing requirements.
• Use OCHIN tools to track deadlines and plan billing activities.
• Demonstrate knowledge of the U.S. healthcare system.

Skills

Attention to detail

Analytical thinking

Technical skills

Communication skills

Education

Medical Billing Certification from AAPC

Tools

Billing software

Job description

We are hiring for a number of new positions to meet increasing demand. When you choose to join OCHIN, you have the opportunity to continuously grow your skills and do meaningful work to help fulfill our vision of good health and well‑being for everyone.

Position Overview

The Billing Specialist provides accurate and timely revenue cycle and account management services to OBS member clients. This role requires strong attention to detail, analytical thinking, technical skills and communication skills to deliver high‑quality customer service and support members’ financial health. The specialist will contribute to OCHIN’s key performance indicators by identifying and resolving claims issues, maintaining compliance with payer requirements, and engaging in continuous process improvement.

A billing specialist may provide high‑quality billing and customer service support to OCHIN Billing Services (OBS) member clinics and their patients, with responsibilities that may include managing self‑pay accounts and customer inquiries or handling daily claims production, including printing, mailing, and preparing documentation for clean claim submission.

Essential Functions

• Execute Accurate and Compliant Billing Operations: Process claims, manage accounts receivable, and maintain documentation in compliance with payer guidelines and OCHIN systems.
• Resolve Billing Issues and Support Financial Outcomes: Investigate and resolve claim denials, identify trends, and contribute to process improvements that enhance reimbursement outcomes.
• Collaborate with Internal Partners and Stakeholders: Communicate effectively with team members and stakeholders to clarify billing requirements and contribute to a cooperative work environment.
• Organize and Prioritize Daily Responsibilities: Use OCHIN tools and processes to track deadlines and plan billing activities for timely and efficient task completion.
• Apply Healthcare and System Knowledge: Demonstrate foundational understanding of the U.S. healthcare system and apply knowledge of OCHIN solutions to billing operations.
• Other duties as assigned.

Requirements

• Experience in billing and / or coding revenue cycle experience preferred.
• Working knowledge of Medicare, Medicaid, MVA, Workers Comp and private insurance billing and reimbursement processes, legal requirements knowledge preferred.
• Experience billing for California highly preferred.
• FQHC Experience and knowledge preferred.
• Medical Billing Certification from the American Academy of Professional Coders (AAPC), preferred.
• For Acute Care hospital work, rural hospital experience is required.
• Prior to moving forward to the team interview, all candidates are required to complete a 50–60‑minute competency assessment. The assessment gives us insights into how your strengths, preferences, and work style align with the OCHIN's nine core competencies. It’s not about passing or failing—it’s about understanding fit and setting you up for success.

Work Location and Travel Requirements

OCHIN is a 100% remote organization with no physical corporate office location. Employees work remotely from home and many of our positions also support our member organizations on‑site for new software installations. Nationwide travel is determined based on OCHIN business needs. Please inquire during the interview process about travel requirements for this position.

Work from Home Requirements

• Ability to work independently and efficiently from a home office environment
• High Speed Internet Service
• It is a requirement that employees work in a distraction free workplace
• Travel required up to 20% nationally for on‑site Go Live support based on business requirements for OCHIN
• (OR) Travel may be required nationally based on business requirements for OCHIN

Benefits

We offer a comprehensive range of benefits. Please visit the OCHIN website for details.

To keep our colleagues, members, and communities safe, OCHIN requires all employees—including remote employees, contractors, interns, and new hires—to be vaccinated with a COVID‑19 vaccine, as supported by state and federal public health officials, as a condition of employment. All new hires are required to provide proof of full vaccination or receive approval for a medical or religious exemption before their hire date.

Physical Requirements/Work Environment

• Constant interpersonal skills, teamwork, and customer service. Frequent creativity, mentoring, presentations/teaching. Occasional decision making and independent judgment or action.
• Reading, speaking, writing, and understanding English.
• While performing the duties of the job, the employee is regularly required to sit for long periods of time; stand and walk; use hands to finger, handle or feel; reach with hands and arms.
• This position requires a virtual home‑office environment, working remotely and will require that employees be on camera for all virtual meetings.
• The role routinely uses standard office equipment such as computers and mobile devices.

Equal Opportunity Statement

OCHIN is proud to be an equal opportunity employer. We are committed to building a team that represents a variety of backgrounds, perspectives, and skills for the benefit of our staff, our mission, and the communities we serve.

As an Equal Opportunity and Affïliative Action employer, OCHIN, Inc. does not discriminate on the basis of race, ethnicity, sex, gender identity, sexual orientation, religion, marital or civil union status, age, disability status, veteran status, or any other protected characteristics. All aspects of employment are based on merit, performance, and business needs.

Base Pay Overview

OCHIN uses broadened pay bands to support equitable and market‑aligned compensation practices. The final offer will be based on a variety of factors, including relevant skills, certifications, education, experience, training, responsibilities, internal equity, and market data.