Remote Medical Billing Specialist

Join Our Team as a Remote Medical Billing Specialist

Are you detail-oriented and passionate about healthcare administration? We are hiring a Remote Medical Billing Specialist to manage insurance claims, ensure accurate reimbursements, and support revenue cycle operations. As a Remote Medical Billing Specialist, you’ll process and audit primary and secondary insurance claims, collaborate with internal teams and payers, and ensure compliance with federal, state, and payer-specific regulations. This role is perfect for someone who thrives in a structured environment, enjoys problem-solving, and wants to contribute to delivering high-quality healthcare services.

Key Responsibilities for a Remote Medical Billing Specialist

Insurance Claim Processing and Submission

• Process and submit primary and secondary insurance claims promptly, ensuring compliance with payer policies and regulations.

• Review claim errors, denials, and rejections, making necessary corrections and resubmitting claims efficiently.

• Demonstrate working knowledge of billing forms, including UB-04, CMS-1500, and state-specific forms.

• Audit claims for accuracy, checking for duplicates, overlaps, and missing information.

Billing Accuracy and Problem Solving

• Investigate and handle rebill requests, verifying claim correctness and updating per facility or coding liaison instructions.

• Monitor charging and edit trends, collaborating with coding, patient access, and ancillary teams to improve accuracy.

• Use electronic billing systems to research and transmit claims while documenting actions in the collection system.

• Perform daily balancing tasks and escalate unresolved issues to the Billing Services Manager.

Collaboration and Communication

Work Like a Remote Billing Specialist to Support Teams

• Communicate professionally with payers, facility representatives, and internal teams to resolve billing issues.

• Participate in team initiatives to improve revenue cycle processes and ensure timely reimbursement.

• Assist in documentation, training, and onboarding resources as needed.

Required Skills & Qualifications

• H.S. Diploma or GED required; Associate Degree in Business, Healthcare Administration, or Medical Billing preferred.

• 0-1 years of medical billing, insurance claims, or revenue cycle experience required; 1-3 years in a healthcare facility preferred.

• Familiarity with hospital or physician billing, payer policies, and electronic claims systems preferred.

• Basic understanding of insurance claim processing and reimbursement guidelines.

• Proficiency in Microsoft Office Suite (Excel, Outlook, Word) and electronic health record (EHR) systems.

Preferred Attributes

• Strong attention to detail, organizational skills, and ability to meet deadlines.

• Knowledge of CMS, Medicaid, Medicare, and commercial insurance regulations.

• Ability to analyze and resolve claim errors, denials, and rejections efficiently.

• Excellent communication, problem-solving, and collaboration skills.

Benefits and Career Growth

As a Remote Medical Billing Specialist at Community Health Systems (CHS) – Patient Access Center, you will help people get well and live healthier lives. CHS provides:

• Medical, dental, and vision insurance

• Paid time off (PTO) and holidays

• 401(k) with company match

• Tuition reimbursement

• Career development opportunities

Community Health Systems operates 71 acute-care hospitals and over 1,000 care sites across 15 states, providing diverse growth opportunities for healthcare professionals.

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