Medical Billing Specialist

Accountabilities • Review, audit, and adjust charges from interfaced files to ensure accurate and timely charge capture .

• Manually enter and audit specialized charges, including pathology, molecular testing, psychology, genetic counseling, and other services, while communicating outstanding items or questions to clinical staff.

• Run and review billing reports to confirm that all required information has been received and accurately recorded in the practice management system.

• Create daily charge files from laboratory application software to support complete and accurate charge capture.

• Reconcile scheduled appointments against posted charges and identify missing or outstanding billing information.

• Collaborate with clinical staff and revenue cycle management teams to resolve charge-posting issues and maintain timely billing workflows.

• Review medical records when necessary to validate diagnoses, procedures, modifiers, and coding accuracy .

• Apply knowledge of billing guidelines, medical policies, payer requirements, and reimbursement regulations to assigned billing activities.

• Work daily on assigned tasks related to claim edits, rejections, denials, collections, and other revenue cycle issues, driving each item through to resolution.

• Identify, manage, and resolve tickets across various statuses within the practice management system.

• Maintain working knowledge of HCPCS, ICD, and CPT oncology coding and applicable insurance carrier requirements.

• Follow established policies and procedures to support consistent and standardized billing processes.

• Participate in training and knowledge-sharing activities as assigned to strengthen individual and team capabilities.

• Demonstrate ownership, professionalism, and a collaborative mindset while managing responsibilities independently.

• Perform additional duties as assigned in support of efficient healthcare operations and patient care.

Requirements:

• High school diploma or equivalent required.

• Previous professional experience in charge entry, medical billing, or medical coding required; experience in an oncology healthcare setting is preferred.

• Strong knowledge of medical billing, HCPCS, CPT, and ICD coding .

• Expertise in insurance policies and reimbursement requirements, including Medicare, Medicaid, and commercial insurance plans .

• Understanding of medical billing guidelines, payer requirements, medical policies, and insurance reimbursement processes.

• Strong analytical skills and the ability to review complex billing information accurately.

• Exceptional attention to detail, organization, and multitasking abilities.

• Ability to manage assigned deadlines while maintaining accuracy and productivity.

• Strong written and verbal communication skills, including active listening and the ability to communicate findings and recommendations effectively.

• Ability to work collaboratively with clinical staff, revenue cycle teams, management, and other colleagues.

• Demonstrated initiative, mature judgment, adaptability, and a strong customer-service orientation.

• Ability to work autonomously while contributing effectively to a team-oriented environment.

• Proficiency with Windows-based applications , including Microsoft Word, Outlook, Excel, and similar tools.

• Reliable attendance and consistent productivity are essential to meeting role objectives.

Benefits:

• Fully remote position based in the United States.

• Full-time employment within a healthcare organization focused on improving patient care and supporting independent medical practices.

• Opportunity to contribute directly to accurate healthcare billing and revenue cycle operations.

• Collaborative environment involving clinical teams, billing specialists, and revenue cycle professionals.

• Opportunities to expand knowledge of oncology billing, coding, insurance requirements, and healthcare reimbursement processes.

• Exposure to a range of specialized medical services and complex billing workflows.

• Opportunity to strengthen operational processes while supporting physicians and the patients they serve.

• Values-driven workplace emphasizing collaboration, initiative, professionalism, and continuous improvement.

How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best! Why Apply Through Jobgether?

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

#LI-CL1