Healthcare revenue cycle role focused on managing insurance claims, resolving claim rejections, and supporting timely payment processing for clients. This position is remote and open to candidates in select states.
- Prepare and submit billing data and medical claims for hospital and physician services in accordance with federal, state, and payer guidelines.
- Review, correct, and work claim edits, errors, denials, and rejections to support proper claim submission and payment.
- Investigate claims, follow up with payers, and resolve billing issues as assigned.
- Perform posting billing adjustments and ensure billing reroutes are handled promptly.
- Maintain productivity and quality standards while working in a professional and timely manner.
- Collaborate with client teams and complete payor-specific training to help maximize reimbursement.
Requirements & Qualifications
- High school diploma or equivalent required; associate degree preferred.
- 2+ years of experience as a medical biller or in a similar role.
- Experience with EPIC preferred.
- Proficiency with Microsoft Office Suite, Teams, and virtual meeting platforms such as GoToMeeting and Zoom.
- Knowledge of ICD-10 diagnosis and procedure codes, CPT/HCPCS codes, and medical billing regulations.
- Understanding of revenue cycle data analysis and interpretation.
- Strong skills in medical accounts investigation, billing software, and electronic medical records.
- Excellent analytical, critical thinking, written communication, time management, and organizational skills.
- Ability to problem-solve, multitask, and maintain strong attention to detail.
Location
Irvine, California, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
1 month ago