Remote Medical Billing Specialist (MA) & Denials Expert

Jobgether; New York (NY); Remote; USD 51,000 - 56,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Fully remote work

Biweekly pay schedule

Student loan repayment program

Job summary

Jobgether seeks a Billing Specialist to manage Minnesota MA billing and payer interactions in a fully remote team. The role focuses on claims submission, AR follow-up, denials management, and appeals, coordinating with DHS and payers to ensure timely reimbursement.

The candidate will work with Revenue Cycle leadership, cross-functional teams, and ensure HIPAA-compliant, accurate records while supporting efficient billing processes.

Qualifications

• Must have extensive medical billing experience focused on MA billing and payer communications.
• Detail-oriented, organized, and able to manage priorities in a remote setting.
• Experience with Minnesota DHS or state programs is preferred.
• CPB credential or equivalent certification is preferred.

Responsibilities

• Manage medical billing and reimbursement, ensuring accuracy and compliance.
• Submit claims to MA, managed care, and commercial insurers with deadlines.
• Monitor accounts receivable and follow up on unpaid or underpaid claims.
• Analyze denials, prepare appeals, and track deadlines.
• Escalate unresolved or high-risk claims to the right teams.
• Verify insurance eligibility and payer requirements, including authorizations.

Education

High school diploma

Postsecondary healthcare education

CPB credential preferred

Tools

Microsoft 365

Excel

Medical billing systems

Electronic health records

CMS-1500

Job description

Jobgether seeks a Billing Specialist to manage Minnesota MA billing and payer interactions in a fully remote team. The role focuses on claims submission, AR follow-up, denials management, and appeals, coordinating with DHS and payers to ensure timely reimbursement.

The candidate will work with Revenue Cycle leadership, cross-functional teams, and ensure HIPAA-compliant, accurate records while supporting efficient billing processes.