Remote Medical Billing & Revenue Cycle Specialist

Hunter Health; Oregon; Hybrid; USD 42,000 - 58,000; Full time

Benefits offered by this job

20 PTO days per year

10 paid holidays

Employer-paid life and disability

401k with Safe Harbor Plan match

Job summary

Hunter Health, Wichita-based, seeks a Revenue Cycle Specialist to manage insurance submissions, postings, and aging claims to grow patient service revenue. You will review claims across medical, radiology, obstetrics, dental and vision while ensuring accurate patient records and compliance.

This full-time, remote US role requires 1–3 years in medical/dental billing, knowledge of payer rules and ICD-9/10, CPT/HCPCS and ADA codes; certification preferred.

Qualifications

• High school diploma or GED is required.
• 1-3 years of experience in medical and/or dental billing, health care administration, or a related field is preferred.
• Knowledge of Medicare, Medicaid, private payer, workers' compensation, and third-party liability rules for accurate billing is required, with knowledge of FQHC billing a plus.
• Current working knowledge of ICD-9 coding is required, and ICD-10 and DSM coding knowledge, along with CPT (Level 1 HCPCS), Level 2 HCPCS, and ADA codes is required.
• Medical billing and/or medical coding certification is preferred.

Responsibilities

• Provides accurate and timely submissions of claims according to payer rules and guidelines.
• Posts payments, slides, and adjustments to patient pay accounts accurately.
• Prepares and mails paper claims in a timely manner.
• Assists with reviewing and processing aging monthly claims.
• Communicates with patients, payers, attorneys, and program contacts regarding claims, billing concerns, collections, or financial transactions.
• Provides input to the Director of Revenue Cycle on benchmarks and progress on billing goals.
• Manages and monitors clearinghouse, payer portal rejections, and return-to-payer claims.
• Handles any rebills or resubmissions of claims, as necessary.
• Batches and posts payments and adjustments to patient accounts according to payer and departmental guidelines.
• Reviews remittance advice and denials from third-party payers to ensure accuracy.
• Assesses reports and ensures that all open claims have been resolved and billed accurately.
• Builds relationships with third-party payers, providers, and other representatives.
• Attends insurance training sessions and other meetings to stay abreast of current medical and dental billing rules and regulations.
• Travels when necessary to meet operational needs.
• Performs all other duties as assigned.

Skills

Communication

Teamwork

Multitasking

Attention to detail

Time management

Problem solving

Adaptability

Education

High school diploma or GED

Medical billing/coding certification (preferred)

Job description

Hunter Health, Wichita-based, seeks a Revenue Cycle Specialist to manage insurance submissions, postings, and aging claims to grow patient service revenue. You will review claims across medical, radiology, obstetrics, dental and vision while ensuring accurate patient records and compliance.

This full-time, remote US role requires 1–3 years in medical/dental billing, knowledge of payer rules and ICD-9/10, CPT/HCPCS and ADA codes; certification preferred.