Remote Billing Specialist II: High-Dollar Claims

Clearway Pain Solutions; Annapolis (MD); Remote; USD 34,440,000 - 39,950,000; Full time

Benefits offered by this job

Health benefits

401(k) retirement plan

Paid time off

Short-term disability

Life/AD&D

Job summary

Clearway Pain Solutions is seeking a Billing Specialist to support the complete and timely revenue collection by accurately coding and entering patient data. The role tracks high-dollar claims from entry to payment and resolves complex payer issues, while following up on outstanding items.

The position is remote and open to candidates in MD, DE, VA, NJ, PA, FL, AL, GA, SC, and TX, requiring knowledge of CPT/ICD-10 coding and strong communication skills.

Qualifications

• High School Diploma or equivalent with a minimum of five years related experience.
• Must have knowledge of Internet and Microsoft Office software (MS Word, MS Excel, MS PowerPoint, MS Outlook).
• Excellent written and oral communication skills, including customer service.
• Able to establish and maintain effective working relationships with doctors, staff and the public.
• Able to work independently or in a team and follow instructions.
• Must follow a flexible schedule and handle stressful situations.
• Must multi-task, prioritize and maintain attention to detail.
• Must know CPT and ICD-10 coding rules and third-party payer guidelines.
• Must have healthcare terminology knowledge and general healthcare experience.
• Commitment to professional conduct and continuous improvement.

Responsibilities

• Reviews and resolves payer denials, including appeals and coding corrections.
• Performs daily claim processing, status checks and re-bills.
• Responds to patient and staff billing inquiries.
• Maintains tracking logs for high-dollar procedures and reports to management.
• Coordinates with authorization department to resolve issues with complex procedures.
• Analyzes accounts receivable to keep DSO under 60 days.
• Navigates insurer portals to research policies and payments.
• Protects PHI and complies with HIPAA requirements.
• Produces and updates reports as directed.

Skills

Attention to detail

Microsoft Office

Excellent communication

Teamwork

Problem solving

HIPAA knowledge

Education

High School Diploma or equivalent with at least 5 years related experience

Tools

EMR system

Job description

Clearway Pain Solutions is seeking a Billing Specialist to support the complete and timely revenue collection by accurately coding and entering patient data. The role tracks high-dollar claims from entry to payment and resolves complex payer issues, while following up on outstanding items.

The position is remote and open to candidates in MD, DE, VA, NJ, PA, FL, AL, GA, SC, and TX, requiring knowledge of CPT/ICD-10 coding and strong communication skills.