Medical Billing Specialist

Job Title:  Medical Billing Specialist

Job Code: [LM-WWMA]

Position type: Part-time

Working Hours: 7:00 PM – 11:00 PM Pacific Time, Monday - Friday

Job Responsibilities:

• Submit and monitor insurance claims for accurate and timely reimbursement.
• Post and reconcile insurance and patient payments.
• Perform AR follow-up with insurance companies to resolve unpaid or underpaid claims.
• Investigate claim status, payment discrepancies, and outstanding balances.
• Assist with patient billing inquiries as needed.
• Review denied and rejected claims in Athena EHR.
• Research denial reasons and implement corrective actions.
• Prepare and submit claim appeals with supporting documentation.
• Correct billing, coding, or eligibility issues and resubmit claims.
• Track denial trends and maintain documentation of resolutions.
• Generate billing, collections, and revenue reports.
• Track free care, write-offs, and uncompensated services.
• Assist with revenue reconciliation and reporting.
• Identify opportunities to improve collections and cash flow.

Requirements

• At least 1 year of proven experience in medical billing and revenue cycle management.
• Strong background in denial management, claim appeals, and AR follow-up.
• Experience with Athena EHR/Athenahealth is required. 
• Knowledge of insurance verification, claim processing, and CPT/ICD coding concepts.
• Strong analytical, organizational, and problem-solving skills.
• Ability to work independently and efficiently manage billing backlogs.
• Excellent attention to detail and communication skills.

Basic requirements

• Must be proficient in speaking and writing English very clearly
• Must have relevant work experience
• Be able to submit an NBI clearance and/or Local Police Clearance background check before onboarding [mandatory]
• Must be available for video meetings with your camera on (when needed)

Technical requirements

• Device: Reliable laptop or desktop computer.
• Internet: High-speed connection (minimum 25 Mbps).
• Audio: Noise-canceling headset.
• Video: Webcam for virtual meetings.
• Workspace: Quiet, professional environment.

Benefits

• Dedicated HR & Contractor Support Team: Access to world-class support for questions, guidance, contract matters, and client communication.
• Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks.
• HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients.
• Top 1% VA Performance Training: Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention.
• Client-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the client’s needs and schedule.
• Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and only if offered by the client.
• Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best.
• Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on your performance.

These are optional resources and client-approved allowances available to you as an independent contractor. Any resources, trainings, or allowances listed are optional contractor perks and not employee benefits.