Remote Medical Billing Specialist — Revenue Cycle Pro

Remote Jobs; San Bruno (CA); 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

Job summary

Summit Home Health & Hospice is seeking a detail-oriented Medical Billing Specialist to join our team remotely with hybrid US-based options. This role handles claims submission, insurance verifications, and revenue cycle tasks in a HIPAA-compliant environment.

The ideal candidate has 2+ years of medical billing experience, knowledge of Medicare/Medicaid, CPT/ICD-10, and proficiency with EHRs and billing software. Strong communication and independence are essential.

Qualifications

• High school diploma or equivalent required.
• Minimum of 2 years medical billing experience.
• Knowledge of Medicare, Medicaid and commercial insurance billing processes.
• Familiarity with CPT, ICD-10, HCPCS coding standards.
• Experience using EHRs and medical billing software.
• 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 regulations.
• Support month-end billing reconciliation and reporting activities.
• Assist patients and families with billing inquiries in a professional and compassionate manner.

Skills

Medicare/Medicaid billing

Attention to detail

Organizational skills

Verbal communication

Independent 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 team remotely with hybrid US-based options. This role handles claims submission, insurance verifications, and revenue cycle tasks in a HIPAA-compliant environment.

The ideal candidate has 2+ years of medical billing experience, knowledge of Medicare/Medicaid, CPT/ICD-10, and proficiency with EHRs and billing software. Strong communication and independence are essential.