Medical Billing Specialist – Full Time
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Medical Billing Specialist supporting billing operations for Delfina’s pregnancy care data platform. Managing medical claims, eligibility, coding accuracy, reporting, and workflow improvement.
Responsibilities:
- Complete billing uploads in EHR systems based on exported reporting
- Cross-reference member lists through EHR systems and payor portals to complete eligibility assessments
- Maintain data integrity through meticulous notetaking and error-free data entry across multiple systems and platforms
- Differentiate value-based and fee-for-service claims based on payor agreements
- Prepare regular and ad-hoc reporting for billing and operations teams
- Review provider documentation to ensure coding accuracy
- Serve as a primary point of contact for billing questions from internal teams, escalating issues as needed
- Support process improvement initiatives and document billing workflows as the team scales
Requirements:
- 2-5 years of experience minimum in medical billing, including at least one year experience in Medicaid billing
- Proficiency with a variety of EHR systems (e.g. Tebra, athenaOne, eCW)
- Proficiency with Microsoft Office and Adobe tools (e.g. Excel, Word, Acrobat)
- Proficiency with Google Suite (e.g. Sheets, Docs)
- Proactivity in assessing missing data from payor portals and ability to bridge data gaps
- High level of integrity and attention to detail; adaptability to learning various state guidelines
- Desire to work collaboratively with medical, tech, and operations teams
- Openness to, and willingness to provide, constructive feedback to improve operational processes
- Ability to work full-time, with availability to accommodate occasional deadline-driven or cross-time zone coordination
Benefits:
- Medical benefits
- Dental benefits
- Vision benefits
- Starter 401(k)
- Flexible vacation PTO
- Mental health leave
- Sick leave
- Company holidays
- Bereavement leave
- Family leave
- Parental leave
- Equity compensation options for eligible employees
Similar Jobs
ED Facility Coding Specialist
ED Facility Coding Specialist assigning CPT, HCPCS, and ICD-10-CM codes for CorroHealth’s healthcare reimbursement solutions. Working remotely to support accurate facility coding and client revenue.
Coder, Inpatient
Remote inpatient coder applying ICD-10-CM/PCS codes and resolving documentation discrepancies for Ovation Healthcare. Reviewing records across outpatient and inpatient settings.
Correspondence Representative – Medical Billing Mailing Operations
Correspondence Representative processing medical billing correspondence, returned mail, and document imaging for Trinity Health. Supporting patient revenue operations through accurate mailing, indexing, scanning, and supplies management.
Billing and Follow-up Representative – Hospital Medical Billing Follow-up, Commercial Payors
Remote medical billing follow-up representative supporting Trinity Health’s hospital revenue cycle. Resolving commercial payer claims, payment delays, rejections, and billing discrepancies.
Inpatient Coding Specialist II, Relief, Non-Benefitted
Inpatient coding specialist assigning ICD-10 codes and DRGs for Stanford Health Care. Reviewing records, abstracting data, and supporting compliant hospital reimbursement.
Coding Specialist
Coding Specialist reviewing medical records and provider coding for Blue Cross NC. Reporting complex coding patterns to CMS and supporting HCC compliance.
Senior Medical Billing Specialist
Senior Medical Billing Specialist managing healthcare claims, denials, and payer resolution for global companies. Maintaining compliant RCM operations through EHR validation, clearinghouse work, and reporting.
Clinical Data Coder
Clinical Data Coder leading medical and medication coding for Indero’s global dermatology and rheumatology clinical trials. Managing coding setups, dictionaries, data reviews, and study timelines.
Senior Clinical Data Coder
Senior Clinical Data Coder leading medical and medication coding for Indero’s global dermatology and rheumatology clinical trials. Managing coding setups, conventions, priorities, and data review.
Inpatient Medical Coder
Remote medical coder assigning emergency department diagnosis, procedure, and E/M codes. Supporting TEKsystems’ business and technology services through accurate charge capture and coding compliance.
Inpatient Medical Coder
Remote medical coder assigning emergency department diagnoses, procedures, modifiers, and facility E/M levels. Supporting TEKsystems’ clients through accurate, compliant medical coding.
Healthcare Billing Specialist
Healthcare Billing Specialist managing U.S. insurance claims, AR, denials, and payer follow-ups for a remote healthcare practice. Maintaining claims in SimplePractice and coordinating billing updates.
Medical Billing & Claims Specialist
Medical Billing & Claims Specialist processing medical procedure claims for a U.S.-based allergy and immunology practice. Managing denials, resubmissions, reimbursement, and billing records.
Certified Coder, Abstractor – Health Information Management
Certified Coder/Abstractor assigning compliant diagnosis and procedure codes for Jefferson Regional Health Information Management. Reviewing patient records and adapting to coding and software changes.
Medical Billing Specialist
Medical Billing Specialist managing TDD infusion-service claims, reimbursements, denials, and collections for A-AIS. Resolving insurance payment issues while ensuring HIPAA and regulatory compliance.
Billing Coordinator I – Healthcare Billing Specialist
Remote Billing Coordinator processing healthcare billing data for Labcorp’s diagnostic testing services. Verifying insurance and demographic information while resolving billing defects.
Medical Billing and Coding Specialist II
Medical billing specialist coding EMS claims for Digitech, a provider of outsourced billing and business-intelligence services for EMS transport. Reviewing claims, ensuring compliance, and meeting accuracy targets.
Medical Coding Auditor – Outpatient
Medical Coding Auditor reviewing outpatient medical records and claims for Humana’s U.S. healthcare and insurance services. Assigning ICD-10-CM and CPT codes while independently determining audit outcomes.
Risk Adjustment Coding Specialist I
Risk adjustment coding specialist validating medical diagnoses and supporting compliant Medicare documentation. Reviewing records, HCC coding, and provider documentation under established guidelines.
Inpatient Corporate Coder
Inpatient coder abstracting clinical records and maintaining coding accuracy for Tenet Healthcare’s hospitals and care services. Reviewing flagged cases, audits, and second-level coding work.