Remote Medical Billing & Claims Specialist

Pavago; United States; Remote; USD 45,000 - 65,000; Full time

Benefits offered by this job

Remote work option

Job summary

Pavago is seeking a detail-oriented Medical Billing Specialist to manage end-to-end medical billing and claims processing remotely during U.S. business hours.

You will submit claims, post payments, investigate denials, and follow up on aging accounts while collaborating with the Finance team to ensure accurate reimbursements and compliant records.

The role requires experience with ICD-10, CPT, HCPCS and billing software, with the ability to work independently in a remote environment.

Qualifications

• Proven experience in medical billing, claims processing, or a similar healthcare finance role.
• Strong understanding of ICD-10, CPT, and HCPCS coding.
• Hands-on experience with insurance verification, EOBs, payment posting, and remittance processing.
• Experience using medical billing software or practice management systems.
• Understanding of the complete medical billing and claims lifecycle.
• Strong knowledge of insurance claim follow-ups, denial management, and appeals.
• Excellent attention to detail and strong organizational skills.
• Proficient written and spoken English, with the ability to communicate effectively with insurance payers and internal teams.
• Ability to work independently and manage multiple billing tasks in a remote environment.

Responsibilities

• Submit medical claims to insurance payers and verify accuracy with documentation.
• Post insurance and patient payments and reconcile accounts.
• Investigate denied or rejected claims and prepare corrections or appeals.
• Follow up on outstanding accounts receivable and aging reports.
• Communicate with patients and payers to resolve billing questions.
• Maintain compliant records and protect patient information.

Skills

Medical billing

Claims processing

ICD-10 coding

CPT coding

HCPCS coding

EOBs & ERA

Insurance verification

Practice management software

Remote work

Tools

Medical billing software

Practice management systems

Job description

Pavago is seeking a detail-oriented Medical Billing Specialist to manage end-to-end medical billing and claims processing remotely during U.S. business hours.

You will submit claims, post payments, investigate denials, and follow up on aging accounts while collaborating with the Finance team to ensure accurate reimbursements and compliant records.

The role requires experience with ICD-10, CPT, HCPCS and billing software, with the ability to work independently in a remote environment.