Remote Specialist

Why consider this job opportunity

• Robust benefits package including medical, dental, and vision insurance
• Paid time off (PTO) and 401(k) with company match
• Tuition reimbursement for professional development
• Opportunity for career advancement and growth within the organization
• Fully remote position offering flexibility in work location
• Chance to contribute to a mission-driven organization focused on improving community health

• Process and verify reimbursement claims, ensuring accuracy and compliance with payer guidelines
• Review and resolve claim discrepancies, including incorrect payments and denials
• Apply correct transaction codes to accounts for proper claim adjudication
• Collaborate with revenue cycle teams to investigate claim denials and appeal decisions
• Document account actions accurately in compliance with department protocols

• High School Diploma or GED required
• Minimum of 0-1 years of experience in medical billing, reimbursement, claims processing, or accounts receivable
• Strong knowledge of medical billing and reimbursement procedures
• Familiarity with claim submission and denial management processes
• Ability to analyze account balances and identify discrepancies

• Associate Degree or coursework in Accounting, Finance, Healthcare Administration, or a related field
• Experience with payer reimbursement policies and healthcare revenue cycle operations
• Proficiency in electronic health records (EHR) and billing software
• Strong problem-solving and critical-thinking skills
• Effective communication and collaboration skills with internal and external stakeholders

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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.