Role Description
The schedule for this role is 8:00 or 9:00 AM to 4:00 or 5:00 PM Eastern Time, Monday-Friday. We are seeking a detail-oriented Medical Billing Specialist to join our Revenue Cycle team. This position plays a critical role in ensuring accurate and timely claim submission for home health services.
The ideal candidate has strong experience in U.S. medical billing, a deep understanding of the revenue cycle process, and the ability to work with high claim volumes while maintaining accuracy. You will be responsible for reviewing, preparing, and submitting claims while ensuring all required documentation and codes are correct prior to submission. This role is ideal for someone who is tech-savvy, adaptable, and highly organized, with strong communication skills and the ability to follow detailed billing processes.
Key Responsibilities
-
Claims Preparation & Submission
-
Review and prepare medical claims for submission to insurance providers.
-
Ensure all required CPT, diagnosis, revenue codes, and place-of-service codes are accurate before claims are submitted.
-
Convert EVV records into billable claims within the billing platform.
-
Enter and manage 60β75 claims per day while maintaining high accuracy.
-
Billing & Revenue Cycle Support
-
Support key components of the Revenue Cycle Management (RCM) process, with a primary focus on claim entry and billing.
-
Verify that claims contain complete and accurate billing information prior to submission.
-
Assist with Coordination of Benefits (COB) when applicable.
-
Monitor claims to ensure compliance with payer requirements.
-
Systems & Documentation
-
Enter and manage claims within billing systems such as CollaborateMD (CMD).
-
Maintain accurate records within the billing platform and related systems.
-
Utilize multiple systems simultaneously and work effectively using dual monitors and screen-sharing tools.
-
Collaboration & Communication
-
Communicate with internal teams regarding billing documentation or claim issues.
-
Follow established billing workflows and escalate issues when necessary.
-
Maintain clear and professional communication in English (written and spoken).
Performance Metrics
-
Number of claims processed daily
-
Accuracy of claim submissions
-
Error rates
-
Clean claim rate
-
Overall productivity and adherence to billing processes
Qualifications
-
2β3 years of experience in U.S. medical billing
-
Strong understanding of the Revenue Cycle Management (RCM) process
-
Experience with CPT codes, diagnosis codes, revenue codes, and place-of-service codes
-
Experience preparing and submitting insurance claims
-
Ability to process high claim volumes while maintaining accuracy
-
Excellent attention to detail
-
Strong written and spoken English communication skills
-
Comfortable working with multiple systems and technologies
-
Ability to work using dual monitors and screen-sharing tools
-
Strong organizational skills and ability to follow detailed instructions
Preferred Qualifications (Nice to Have)
-
Home Health billing experience
-
Experience with CollaborateMD (CMD)
-
Experience with Medicaid billing
-
Familiarity with:
-
Availity
-
NaviNet
-
Waystar
-
NextGen
-
Avaya
-
Experience working in remote or distributed teams
Benefits
-
Competitive compensation packages that reflect the value you bring.
-
Generous paid time off: 15 days of paid time off and 10 paid company US holidays.
-
Team bonding through activities and an annual company retreat.
-
Company-issued laptop to support you in your role.
-
Growth opportunities to build your leadership skills while working with teams in various markets across the US.