Medical Billing Specialist (US Healthcare)

Location: Remote / Work from Home
Employment Type: Full-Time

Working Hours: Central Standard Time (Texas Time Zone)

About the Role:
We are seeking a detail-oriented, highly articulate Medical Billing Specialist with at least 1 year of hands-on experience in US healthcare billing. In this role, you will be responsible for managing end-to-end medical billing processes, navigating insurance claims, following up on unpaid balances, and resolving complex billing inquiries.

Because this position requires frequent verbal and written communication with US-based insurance providers, healthcare practitioners, and patients, exceptional, fluent English communication skills (both spoken and written) are strictly required.
Key Responsibilities

Claim Submission & Management: Accurately prepare, code, and submit primary and secondary medical claims to insurance companies (Medicare, Medicaid, and private commercial carriers).

Accounts Receivable & Follow-Up: Monitor claim status, conduct regular accounts receivable (A/R) follow-ups, and investigate unpaid, delayed, or rejected claims.

Denials & Appeals: Identify reasons for claim denials, perform root-cause analysis, gather necessary documentation, and draft/submit persuasive formal appeals.

Payer & Patient Communication: Contact US insurance representatives via telephone or online portals to clarify coverage details, resolve claim disputes, and clarify authorization issues.

Payment Posting & Reconciliation: Post insurance and patient payments, apply adjustments, and reconcile patient accounts accurately within the billing software.

Patient Inquiries: Handle professional, empathetic, and clear communication with patients regarding billing statements, outstanding balances, and payment arrangements.

Qualifications & Requirements

Experience:

• Minimum of 1+ years of direct experience in US medical billing, A/R follow-up, or medical claims processing.
• English Proficiency: Exceptional verbal and written English skills (C1/C2 or fluent level). Must be confident making phone calls to US insurance companies and drafting clear, professional written appeals.

Technical Knowledge:

• Solid understanding of US healthcare insurance concepts (Deductibles, Co-pays, Co-insurance, EOBs, ERA, Out-of-Network benefits).
• Familiarity with standard medical coding systems (ICD-10, CPT, HCPCS) and billing guidelines.
• Experience working with EHR/EMR and Billing software (e.g., Kareo, Practice Fusion, AdvancedMD, ECW, or similar).

Skills:

• Exceptional attention to detail, strong problem-solving skills, high accuracy in data entry, and ability to manage workload during US Central Time business hours.

Technical / Equipment Requirements

• High-speed, reliable internet connection (25+ Mbps minimum) with a backup internet solution.
• Quiet, private, home-office environment compliant with HIPAA privacy guidelines.
• Modern computer setup (Core i5 / Ryzen 5 or higher, 8GB+ RAM) with a clear, noise-canceling headset for phone calls.

What We Offer

• Competitive hourly pay ($4.00 – $6.00/hr based on experience).
• Full-time hours with a stable long-term team.
• Supportive management and opportunities for skill expansion.

How to Apply
Interested candidates should submit the following:
1. An updated Resume/CV highlighting your relevant US medical billing experience.
2. A Short Voice Recording / Video Intro (1–2 minutes) introducing yourself and summarizing your background in medical billing (required to verify spoken English fluency and phone clarity).
3. Confirmation of your ability to work Texas (CST) hours.
Please send your application to ---------- with the subject line: "Medical Billing Specialist - [Your Full Name]".