Remote Medical Billing Specialist - Coding, Appeals & AR

DaMar Staffing; Garland (TX); Hybrid; USD 42,000 - 64,000; Full time

Job summary

DaMar Staffing is seeking a detail-oriented Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The role requires accuracy and excellent communication to work with patients and payers for timely reimbursement.

This position may offer the opportunity to work from home, depending on experience and performance. Proficiency with EHR/EMR systems (Epic, Meditech, PrognoCis) and knowledge of payer guidelines are essential for success.

Qualifications

• Minimum of 2 years of experience in medical billing, coding, insurance follow-up, and working within EHR/EMR systems.
• Strong knowledge of ICD-10, CPT, and HCPCS coding systems.
• Hands-on experience with EHR/EMR systems including Epic, Meditech and/or PrognoCis.
• Familiarity with payer reimbursement guidelines and healthcare regulations.
• Experience creating cost estimates for medical procedures.
• Skilled in preparing and submitting appeals for denied claims.

Responsibilities

• Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations.
• Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses.
• Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements.
• Review and verify accuracy of billing data within EHR/EMR systems prior to claim submission.
• Utilize EHR/EMR platforms for documentation, coding, and billing workflows.
• Research and resolve billing discrepancies or claim denials.
• Prepare and submit insurance appeals, ensuring compliance with payer guidelines.
• Communicate with patients regarding billing questions, payment responsibilities, and insurance coverage.

Skills

Detail oriented

Communication skills

Organizational skills

Problem solving

Education

Associate's degree in Healthcare Administration

CPC/CCS certification preferred

Tools

Epic

Meditech

PrognoCis

Job description

DaMar Staffing is seeking a detail-oriented Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The role requires accuracy and excellent communication to work with patients and payers for timely reimbursement.

This position may offer the opportunity to work from home, depending on experience and performance. Proficiency with EHR/EMR systems (Epic, Meditech, PrognoCis) and knowledge of payer guidelines are essential for success.