Medical Billing Specialist - DMV area ONLY REMOTE

Addison Group; Washington (District of Columbia); Remote; USD 125,000 - 150,000; Full time

Job summary

An established industry player is looking for a dedicated Medical Billing Specialist to join their remote team. This full-time role focuses on managing EDI rejections, reviewing claims, and ensuring accuracy through high-level scrubbing before submission to payors. With flexible shifts and the potential for long-term employment, this position offers the opportunity to work in a dynamic environment while honing your skills in healthcare billing. If you have a passion for detail and communication, this role could be the perfect fit for you!

Benefits

Remote work

Flexibility in shift selection

Qualifications

• 1-2 years of recent billing/claim submission experience required.
• Experience with medical payors like BCBS, UHC, Aetna is essential.

Responsibilities

• Manage EDI rejections and review claims requiring manual intervention.
• Scrub claims for accuracy before submission to payors.

Skills

Medical Billing Experience

Claim Submission Experience

Strong Communication Skills

Adaptability to New Systems

Tools

EDI Systems

Medical Clearinghouses

Job description

Job Title: Medical Billing Specialist

Location (city, state): Remote (Candidates can be from anywhere in the DMV area)

Industry: Healthcare Billing

Pay: $19-$21 per hour, based on experience

About Our Client:

Our client is seeking a dedicated medical billing specialist for a new position. This role focuses on handling EDI rejections, claims review, and high-level claim scrubbing prior to submission.

Job Description:

This full-time remote position will primarily involve managing EDI rejections and reviewing claims that require manual intervention before submission. High-level scrubbing of claims to ensure accuracy before sending them to payors is a key responsibility.

Key Responsibilities:

• Manage EDI rejections (primary function)
• Review and work claims requiring manual intervention before submission
• Scrub claims at a high level prior to submission to payors
• Maintain effective communication and resolve billing issues

Qualifications:

• Minimum of 1-2 years of recent billing/claim submission experience required
• Proof of high-speed internet is required
• Experience with medical and commercial payors such as BCBS, UHC, Aetna is required
• Experience with clearinghouses (e.g., Experian ClaimSource, Change, Trizetto) is a must
• Strong communication skills
• Must be able to quickly adapt and pick up new systems and processes

Additional Details:

• Hours: Office hours are 6:00am – 6:00pm with flexible shifts (e.g., 6:00am-2:00pm or 10:00am-6:00pm)
• Training: 2-3 weeks, 8:00am – 4:30pm M-F
• Contract Duration: 120 days minimum, with potential for long-term consideration
• Reporting to: Larra and team leads
• Ideal Start Date: ASAP (Expect 3-week turnaround for equipment setup)
• Interview Process: Virtual via Microsoft Teams

Perks:

• Remote work with the potential for long-term extension or permanent employment
• Flexibility in shift selection after training