Remote Medical Billing Specialist - AR & Claims & Denials

Colorado In Motion; Indiana (PA); Remote; USD 25,000 - 28,000; Full time

Job summary

Confluent Health Systems Solutions is seeking a Billing Specialist with strong medical billing and accounts receivable (AR) experience to join our remote team. You will manage the billing lifecycle, follow up on denied claims, and collaborate with clinics to ensure timely revenue cycle outcomes.

The role requires attention to detail, familiarity with ICD-10, CPT, HCPCS, and payer portals; offers solid benefits, full-time remote work, and opportunities to grow within a supportive, patient-focused

Qualifications

• High School Diploma or GED required.
• Medical Billing/Coding certification or relevant healthcare education preferred but not required.
• Minimum 2 years of hands-on medical billing, AR, or healthcare revenue cycle experience.
• Experience with insurance claims, denials, AR aging, and payer follow-up.
• Experience using insurance payer portals and/or EMR systems.
• Working knowledge of ICD-10, CPT, and HCPCS.
• Strong attention to detail, organization, communication, and problem-solving skills.
• Proficiency with Microsoft Office and basic computer/data entry skills.

Responsibilities

• Manage patient accounts from creation to claim submission and statements.
• Follow up on denied, unpaid, and underpaid claims; research issues and resubmit or appeal as appropriate.
• Monitor AR aging reports to ensure timely collections.
• Communicate with insurance payers regarding claims, reimbursement, billing requirements, and account issues.
• Verify insurance benefits and eligibility using payer portals and ensure information is accurate.
• Communicate professionally with patients regarding balances, billing questions, and payment plans.
• Collaborate with clinic staff, clinical teams, and referral sources to resolve billing and insurance issues.
• Maintain knowledge of ICD-10, CPT, HCPCS, payer requirements, and HIPAA regulations.
• Complete daily billing and AR tasks accurately and within established deadlines while maintaining patient confidentiality.

Skills

AR management

Insurance claims

Denials handling

HIPAA compliance

Communication

Microsoft Office

EMR systems

Payer portals

Education

High School Diploma or GED

Medical Billing Certification

Healthcare-related education

Tools

EMR systems

Insurance payer portals

Microsoft Office

Job description

Confluent Health Systems Solutions is seeking a Billing Specialist with strong medical billing and accounts receivable (AR) experience to join our remote team. You will manage the billing lifecycle, follow up on denied claims, and collaborate with clinics to ensure timely revenue cycle outcomes.

The role requires attention to detail, familiarity with ICD-10, CPT, HCPCS, and payer portals; offers solid benefits, full-time remote work, and opportunities to grow within a supportive, patient-focused