Remote Billing Specialist

sfmexternalcareers; Kansas; Remote; USD 42,000 - 52,000; Full time

Job summary

sfmexternalcareers is seeking a Billing Specialist to support Revenue Operations by handling medical billing, coding, payments, and AR aging. You will ensure timely submission of claims, minimize denials, and collaborate to optimize reimbursement across various payers and programs.

The role requires at least two years in healthcare billing, a valid driver’s license, and strong Excel/PMS skills to generate reports and support finance initiatives.

Qualifications

• Minimum of two years of billing experience in healthcare.
• Must be 21 years of age and have a valid driver’s license.
• Ability to work with multiple programs and payers.
• Proficiency with PMS and Excel for reporting.

Responsibilities

• Billing and management of claims for multiple programs and payers.
• Submit claims timely and ensure payer compliance.
• Post insurance and patient payments into PMS.
• Scrub claims to reduce denials and underpayments.
• Resolve denials via review, correction, and resubmission.
• Collaborate with teams to improve billing workflows.
• Maintain aging reports and perform payer followups.
• Identify secondary/tertiary submissions to maximize reimbursement.
• Prepare financial reports and ad hoc analyses as needed.
• Conduct follow-up with payers to resolve unpaid claims.

Skills

Billing experience

Healthcare billing

Payer rules

Denials management

Education

High school diploma

Tools

PMS

Excel

Job description

The Billing Specialist supports Revenue Operations by managing medical billing processes, including coding, payment posting, accounts receivable aging, and denial follow-up. This role ensures accurate and timely processing of claims and payments across Electronic Health Records (EHR) and Practice Management Systems (PMS).

• Billing and management of claims for multiple programs and payers to achieve maximum reimbursement

• Maintain working knowledge of multi-state payer rules, including Medicaid/MCOs, commercial insurance, third-party liability, state contracts, grants, and inter-organizational billing requirements

• Ensure claims are submitted timely and in compliance with payer requirements, reviews remittance advice to identify underpayments or discrepancies

• Reduce rejections and denials by scrubbing claims for timely and accurate submission

• Manages the resolution of insurance claim denials through detailed review, correction, and resubmission to optimize revenue recovery

• Collaborates with internal teams to resolve billing issues and improve workflows

• Manages aging accounts by contacting commercial payers and state programs to ensure timely and accurate payment

• Monitors aging reports to prioritize follow-up efforts

• Identifies, verifies, and submits claims to secondary and tertiary insurance carriers to maximize reimbursement

• Accurately posts insurance and patient payments into Practice Management Systems (PMS)

• Prepares and maintains Excel worksheets, tracking tools, and ad hoc reports to support revenue cycle operations

• Prepares, or assists in the preparation of, financial reports, analyses, and special projects as needed

• Conducts follow-up with payers to resolve denials, rejections, and unpaid claims

• Maintain and manage Billing workflows across assigned programs to ensure efficient and consistent operations

• Reviews accounts to determine if adjustments are necessary

• High School diploma or equivalent

MINIMUM EXPERIENCE & REQUIREMENTS:

• Minimum of two years of billing experience in a healthcare setting, behavioral health preferred

• Must be 21 years of age

• Must have a valid Driver’s License

• Must pass a drug screen, MVR, and Child Abuse and Neglect Central Registry clearance check

• Lifting Requirements of 30-50 lbs