We are hiring for a remote medical billing role supporting hospital claim submission, corrections, and follow-up across multiple clients and systems.
This position is responsible for ensuring accurate and timely initial payer claim submission and payment by reviewing and correcting claim edits, rejections, and rebills. The role requires hands-on account resolution while maintaining high standards of quality, productivity, and compliance.
Key responsibilities include:
- Submit hospital medical claims in accordance with federal, state, and payer guidelines
- Research, analyze, and correct hospital claim errors and rejections
- Review claim edits, errors, and denials to support proper payment
- Follow up with payers and work assigned claims
- Determine reasons for non-covered charges and take appropriate action
- Perform billing adjustment postings
- Ensure rerouted billing items are handled promptly
- Escalate stalled claims to management
- Communicate payer-specific issues to the team and leadership
- Participate in daily shift briefings
- Meet productivity and quality standards
- Work collaboratively while adapting to change and maintaining ethical decision-making
Requirements & Qualifications
Qualifications
- High school diploma or equivalent required; associate degree preferred
- 4+ years of experience working with health insurance companies securing payment for medical claims
- 3+ years of experience billing hospital claims and filing appeals with health insurance companies
- Experience using clearinghouse systems such as Waystar, Quadex, SSi, or similar platforms
- Proficiency in Microsoft Office Suite, Teams, and other desktop applications
Knowledge and skills
- Knowledge of coding guidelines for claim errors
- Understanding of healthcare revenue cycle administration rules and regulations
- Knowledge of ICD-10 diagnosis and procedure codes and CPT/HCPCS codes
- Strong investigative skills to identify and resolve non-payment issues on medical accounts
- Ability to make informed decisions and take appropriate action
- Professional communication, dependability, and accountability
- Willingness to learn, grow, and respond constructively to feedback
- Ability to adapt easily to change and work with ethical decision-making
Benefits & Perks
Benefits
- Paid time off
- 401(k) plan
- Health insurance coverage, including medical, dental, and vision
- Life insurance
- Paid holidays
- Training and development opportunities
- Wellness support and work-life balance focus
- Competitive compensation package based on experience and revenue cycle knowledge
Location
Irvine, California, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
Yes
Posted
1 month ago