Remote Healthcare Billing Specialist

HopeHealth; United States; Remote; USD 42.000 - 54.000; Vollzeit

Zusammenfassung

HopeHealth is seeking a remote Billing Specialist to accurately process healthcare claims with insurers and government programs. You will handle daily claim workflows, denials, and re-bills while maintaining high customer service standards.

The position requires a High School diploma and 1–2 years in medical billing; CPC/CPB certification is a plus. Proficiency in ICD-10, CPT, HCPCS and Microsoft Office is expected, with eClinicalWorks experience preferred.

Qualifikationen

• High School Diploma or GED required.
• 1–2 years medical billing and follow-up experience desired.
• CPC and/or CPB certification highly desired but not required.
• eClinicalWorks experience preferred.
• Proficient with Microsoft Office Suite (Excel, Word, PowerPoint).
• Advance and current knowledge of ICD-10, CPT, and HCPCS codes.
• Current knowledge of insurance payer coding and reimbursement guidelines.

Aufgaben

• Validates the accuracy of claim information so future billing and follow‑up activities are effective.
• Apply approved adjustments to accounts per policy.
• Scrub claims for errors and mark corrections per guidelines.
• File electronic and hard copy claims daily.
• Process daily mail and correspondence related to open accounts to secure payment; rebill within two business days.
• Assist other staff with questions or problems related to patient payments in a timely manner.
• Answer calls from patients and/or insurance companies; return calls within 24 hours.
• Address actions within 48 hours; urgent actions within 24 hours.
• Maintain daily account and follow‑up worklists; contact insurers per guidelines and document status.
• Adhere to guidelines and participate in meetings and continuing education.
• Demonstrate a positive patient/customer service attitude.
• Perform other duties as assigned.

Kenntnisse

Attention to detail

Communication skills

Customer service

Work under pressure

Team collaboration

Independent work

Ausbildung

High School Diploma or GED

1-2 years medical billing experience

CPC/CPB certification desired

eClinicalWorks experience

MS Office proficiency (Excel, Word, PowerPoint)

ICD-10, CPT, HCPCS knowledge

Payer coding guidelines knowledge

Tools

eClinicalWorks

Microsoft Excel

Microsoft Word

Microsoft PowerPoint

Jobbeschreibung

HopeHealth is seeking a remote Billing Specialist to accurately process healthcare claims with insurers and government programs. You will handle daily claim workflows, denials, and re-bills while maintaining high customer service standards.

The position requires a High School diploma and 1–2 years in medical billing; CPC/CPB certification is a plus. Proficiency in ICD-10, CPT, HCPCS and Microsoft Office is expected, with eClinicalWorks experience preferred.