Remote Billing Specialist I: Claims & Compliance

Planned Parenthood Mar Monte, Inc.; North Las Vegas (NV); Hybrid; USD 36,000 - 48,000; Full time

Job summary

Planned Parenthood Mar Monte, Inc. is seeking a Medical Billing Clerk to review payer claims for accuracy and ensure charges follow guidelines.

You will process unbilled reports, monitor edits, and coordinate with health center staff to correct and submit claims timely. The role requires 1–2 years of medical billing experience or knowledge of professional claims billing, with strong writing and communication abilities and strict HIPAA confidentiality.

Qualifications

• High School Diploma required.
• Knowledge of professional claims billing or 1–2 years of medical billing experience.
• Ability to manage multiple tasks and adapt to priority changes.
• Strong writing, editing and communication skills with attention to detail and accuracy.
• Must adhere to HIPAA guidelines and maintain confidentiality.

Responsibilities

• Review governmental and non-governmental payer claims for accuracy and ensure billing charges comply with payer guidelines.
• Process daily unbilled charge reports to identify discrepancies, process charges, and submit claims.
• Monitor and resolve claim production red edit reports to clear edits and coordinate with health center staff for corrections and timely submission.
• Review and resolve rejected claims queues in the clearinghouse to transmit claims per workaids and department expectations.
• Respond to billing-related inquiries from health center staff to expand knowledge of issues and resolutions methods.
• Process incoming correspondence for the assigned health centers, including payer notifications and returned claims, and rebill to corrected claims.
• May report onsite when required and perform additional duties and special projects near the administrative office.
• Meet department productivity and claim submission benchmarks and billing KPIs.

Skills

Attention to detail

Communication skills

Writing/editing

Education

High School Diploma

Tools

Microsoft Word

Excel

Job description

Planned Parenthood Mar Monte, Inc. is seeking a Medical Billing Clerk to review payer claims for accuracy and ensure charges follow guidelines.

You will process unbilled reports, monitor edits, and coordinate with health center staff to correct and submit claims timely. The role requires 1–2 years of medical billing experience or knowledge of professional claims billing, with strong writing and communication abilities and strict HIPAA confidentiality.