Remote Medical Billing & Coding Specialist — Claims

Riverside Recovery of Tampa; Tampa (FL); On-site; USD 42,000 - 65,000; Full time

Benefits offered by this job

Health Insurance

Dental

Vision

401- K

Life Insurance

Disability

Critical Illness

Hospital Indemnity/Accident plan

Legal plan

EAP

Short-term disability

Job summary

Riverside Recovery of Tampa is seeking a Billing and Coding Specialist to report accurate information to insurers and ensure clients are billed correctly. The role works closely with the Billing and Coding Manager and CPCs to send medical claims to payers and clients.

The position offers the opportunity to work remotely. Primary duties include claims submission, payment posting, payer communications, and denials management within Substance Abuse & Mental Health services.

Qualifications

• 1–2 years of medical billing experience within Substance Abuse or Mental Health.
• Completion with an Accredited Medical Billing & Coding Diploma Program.
• Excellent Customer Service skills.
• Strong working knowledge of inpatient & outpatient medical coding.

Responsibilities

• Manages all claims submission and payment posting.
• Ensures data is formatted, coded, and submitted accurately and compliantly.
• Submits claims files to payers and posts payments using EDI (837p and 835ERA).
• Identify and implement payer submission requirements.
• Monitors payer and clearinghouse submission reports and troubleshoots problems.
• Communicates with health insurers regarding pending or unpaid claims.
• AR follow-up and denials; research denials, submit appeals and ensure payments.
• Maintain confidentiality of medical and financial records per HIPAA.

Skills

Attention to detail

Customer service

Communication skills

Multitasking

Education

High school diploma or GED

Medical Billing & Coding Diploma

Tools

EDI systems

MS Excel

EMR/EHR systems

Job description

Riverside Recovery of Tampa is seeking a Billing and Coding Specialist to report accurate information to insurers and ensure clients are billed correctly. The role works closely with the Billing and Coding Manager and CPCs to send medical claims to payers and clients.

The position offers the opportunity to work remotely. Primary duties include claims submission, payment posting, payer communications, and denials management within Substance Abuse & Mental Health services.