Remote Medical Billing & Collections Specialist

Health Choice Network, Inc.; Northern (KY); On-site; USD 50,000 - 60,000; Full time

Benefits offered by this job

100% Remote Work

100% Employer-Paid Medical Insurance

Annual $1,500 HSA Contribution

Generous PTO

403(b) Retirement Plan with Employer**

Professional Development & Education

Disclaimer

Job summary

Health Choice Network, Inc. is seeking a RCM Specialist III to support medical billing, insurance follow-up, and denial management from a fully remote role in the United States. You will handle claims, eligibility checks, and AR while maintaining high service standards.

Ideal candidates have 2–3 years in medical billing with Medicare/Medicaid experience, strong communication, and the ability to manage multiple priorities in a fast-paced environment.

Qualifications

• Minimum of 2-3 years of medical billing, insurance collections, accounts receivable, or denial management.
• Experience with Medicare, Medicaid, and commercial payers.
• Knowledge of medical terminology, billing guidelines, and regulations.
• Strong analytical, organizational, and problem-solving skills.
• Excellent verbal and written communication skills.
• Ability to manage multiple priorities and meet deadlines in a fast-paced environment.
• Ability to work independently while collaborating with a team.

Responsibilities

• Prepare and submit clean claims to insurance carriers electronically and on paper when needed.
• Review claims for accuracy and correct billing or coding issues for rebilling or secondary billing.
• Research and resolve claim rejections, holds, denials, and payment variances.
• Verify patient eligibility, benefits, and insurance coverage.
• Follow up with insurers on unpaid/underpaid claims to ensure timely reimbursement.
• Maintain compliance with payer guidelines and billing requirements.
• Research outstanding AR and correct patient demographics, insurance data, provider data, claim details.
• Assist with patient collections and deposit reconciliation activities.
• Document all account activity and communications in the system.
• Monitor aging AR and identify opportunities to improve collection performance.
• Communicate professionally with patients, providers, insurers, and internal stakeholders.
• Provide excellent customer service while resolving billing inquiries.
• Collaborate with Revenue Cycle Management team for efficiency.
• Cross-train across RCM functions and support billing operations.

Skills

Analytical

Organizational

Problem-solving

Verbal communication

Written communication

Multitasking

Independence

Team collaboration

Education

High School Diploma or GED

Tools

EMR System (EPIC)

Electronic Medical Records (EMR)

Job description

Health Choice Network, Inc. is seeking a RCM Specialist III to support medical billing, insurance follow-up, and denial management from a fully remote role in the United States. You will handle claims, eligibility checks, and AR while maintaining high service standards.

Ideal candidates have 2–3 years in medical billing with Medicare/Medicaid experience, strong communication, and the ability to manage multiple priorities in a fast-paced environment.