Remote Medical Billing Specialist

Mi Familia & Summit Home Health and Hospice; Bethlehem (Northampton County); Hybrid; USD 58,000 - 74,000; Full time

Benefits offered by this job

Medical, Dental, and Vision Insurance

401(k) Retirement Plan with Company-Ma

Paid Time Off (PTO)

Paid Holidays

Life and AD&D Insurance

Disability Coverage

EAP

Continuing Education Support

Remote Work Flexibility

Job summary

Summit Home Health & Hospice is seeking a detail-oriented Medical Billing Specialist to join our growing team. The role focuses on processing medical claims, verifying insurance, and managing reimbursements within a hybrid environment in the United States.

The ideal candidate has 2+ years of medical billing experience, knowledge of Medicare/Medicaid, CPT/ICD-10 coding, and experience with EHR and billing software. Strong communication and organizational skills are essential for success.

Qualifications

• High school diploma or equivalent.
• Minimum of 2 years of medical billing experience.
• Knowledge of Medicare, Medicaid, and commercial insurance billing processes.
• Familiarity with CPT, ICD-10, and HCPCS coding standards.
• Experience using Electronic Health Records (EHR) and medical billing software.
• Strong attention to detail and organizational skills.
• Excellent written and verbal communication skills.
• Ability to work independently in a remote environment.

Responsibilities

• Prepare, review, and submit electronic and paper claims to Medicare, Medicaid, commercial insurance providers, and other payers.
• Verify patient insurance eligibility, benefits, and coverage information.
• Monitor claim status and follow up on unpaid, denied, or underpaid claims.
• Investigate and resolve billing discrepancies and claim rejections.
• Post payments, adjustments, and patient balances accurately within billing systems.
• Communicate with insurance companies regarding claim submissions, appeals, and reimbursement issues.
• Prepare and submit appeals for denied claims when appropriate.
• Maintain accurate patient billing records and documentation.
• Collaborate with clinical, intake, and administrative teams to ensure billing accuracy.
• Generate billing reports and assist with revenue cycle analysis.
• Ensure compliance with HIPAA, Medicare, Medicaid, and other applicable healthcare regulations.
• Support month-end billing reconciliation and reporting activities.
• Assist patients and families with billing inquiries in a professional and compassionate manner.

Skills

Detail-oriented

Communication skills

Independent work

Organizational skills

Attention to accuracy

Education

High School Diploma or equivalent

Tools

EHR software

Billing software

Claims processing system

Job description

Summit Home Health & Hospice is seeking a detail-oriented Medical Billing Specialist to join our growing team. The role focuses on processing medical claims, verifying insurance, and managing reimbursements within a hybrid environment in the United States.

The ideal candidate has 2+ years of medical billing experience, knowledge of Medicare/Medicaid, CPT/ICD-10 coding, and experience with EHR and billing software. Strong communication and organizational skills are essential for success.