Remote Medical Billing Specialist

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

Benefits offered by this job

Medical, Dental, Vision Insurance

401(k) with company match

Paid Time Off (PTO)

Paid Holidays

Life and AD&D Insurance

Disability insurance

Employee Assistance Program (EAP)

Continuing Education support

Remote work flexibility

Wellness programs

Job summary

Summit Home Health & Hospice is seeking a detail-oriented Medical Billing Specialist to join our growing team. This hybrid U.S.-based role involves processing medical claims, managing reimbursements, and ensuring timely revenue cycle operations.

The ideal candidate has 2+ years in medical billing, knowledge of Medicare/Medicaid processes, CPT/ICD-10/HCPCS coding, and experience with EHR and billing software. Remote work is supported for qualified candidates.

Qualifications

• High school diploma or equivalent.
• Minimum of 2 years medical billing experience.
• Knowledge of Medicare, Medicaid, and commercial insurance billing processes.
• Familiarity with CPT, ICD-10, and HCPCS coding standards.
• Experience using 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

Attention to detail

Communication skills

Independent work

Remote work

Education

High school diploma or equivalent

Tools

EHR systems

Medical billing software

Job description

Summit Home Health & Hospice is seeking a detail-oriented Medical Billing Specialist to join our growing team. This hybrid U.S.-based role involves processing medical claims, managing reimbursements, and ensuring timely revenue cycle operations.

The ideal candidate has 2+ years in medical billing, knowledge of Medicare/Medicaid processes, CPT/ICD-10/HCPCS coding, and experience with EHR and billing software. Remote work is supported for qualified candidates.