Insurance Billing Specialist

We are seeking a detail‑oriented and driven Insurance Billing Specialist to join our remote team. In this role, you will be responsible for processing, submitting, and following up on insurance claims to ensure timely and accurate reimbursement. You’ll work closely with internal clinical teams and external payers while representing our core values every day.

• Process and submit clean, accurate insurance claims to Medicare, Motor Vehicle Accident (MVA), Workers’ Compensation, and other commercial payers in compliance with payer‑specific requirements.
• Perform thorough follow‑up on unpaid, denied, or rejected claims to maximize reimbursement and resolve outstanding balances.
• Research, analyze, and resolve claim denials by identifying root causes and implementing corrective actions, including preparing and submitting timely appeals when needed.
• Verify patient insurance coverage and benefits prior to service to ensure eligibility and accurate billing.
• Maintain detailed and accurate documentation of billing activities, claim statuses, and payer communications.
• Monitor and manage aging reports, prioritizing follow‑up based on claim age, payer responsiveness, and filing deadlines.
• Navigate payer portals and systems to check claim status, update information, and facilitate payment resolution.
• Communicate professionally with insurance representatives to clarify policies, address payment issues, and negotiate resolutions.
• Collaborate with clinical teams and providers to obtain additional documentation or correct coding as needed to support claims.
• Stay current on insurance billing regulations, payer guidelines, and coding updates to ensure compliance and optimal reimbursement.
• Perform other duties as assigned.

• High school diploma required;
  Associate’s degree in Healthcare Administration, Medical Billing, or a related field preferred.
• 2+ years of medical billing experience, including direct experience with Medicare, MVA, and Workers’ Compensation claims.
• Strong knowledge of medical terminology and coding systems (CPT, ICD‑10‑CM, HCPCS).
• Proficiency with medical billing software, EHR systems, and insurance payer portals.
• Solid understanding of insurance verification, coverage guidelines, and pre‑service eligibility checks.
• Excellent analytical, problem‑solving, and organizational skills with strong attention to detail.
• Clear and professional written and verbal communication skills.
• Ability to work independently, manage multiple priorities, and meet deadlines in a fast‑paced environment.
• Certified Medical Billing Specialist (CMBS) or similar certification preferred.

• 100% Remote Work (PST or MST time zones)
• Supportive team culture with real camaraderie
• Strong focus on work–life balance and schedule flexibility
• Ongoing learning, growth, and career development opportunities
• Meaningful, mission‑driven work
• Competitive compensation and benefits
• Approachable leadership and a culture that truly listens

This is a fully remote position, open to candidates located in Pacific or Mountain Time Zones only.

This is a Contract to Hire position based out of Portland, OR.

The pay range for this position is $25.00 - $30.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre‑tax and Roth post‑tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long‑term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

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