Medical insurance coder jobs near me - 454 jobs

Job Description Responsibilities Launch Your Healthcare Career with RadNet Virtual Job Fair - Wednesday January 7th, 2026 9:00 AM - 3:00 PM EST Looking to start a meaningful career in healthcare? Join us at RadNet Radiology's Virtual Job Fair on Wednesday January 7th, 2026, and explore our Remote Medical Scheduler openings. Position: Scheduler As a Medical Scheduler, you'll be the first point of contact for patients scheduling important imaging appointments. You'll: Schedule, reschedule, and manage appointments Provide friendly and professional customer service Support patient care across our network of imaging centers Why RadNet? $16.00 hourly rate, PLUS monthly incentive/bonus opportunity! Full benefits: Medical, Dental, Vision, HSA, 401(k) with Match Free imaging services for you and your immediate family In-office role with real impact Room to grow your career in a stable, supportive environment You Bring: Strong customer service, communication and phone skills Strong basic computer and data entry skills A customer-first attitude and attention to detail Call Center or Medical Experience a plus! An ability to work onsite when needed and work remotely Location Info: Must be able to train at 1825 SE Tiffany Avenue, Suite 104, Port St Lucie Fl 34952 and reside within 50 miles of our office Whether you're changing careers or just starting out, this is your chance to join a mission-driven team that values your growth. Register now to reserve your spot: *************************************************************************** Take the next step toward a rewarding future in healthcare with RadNet!

Looking for an experienced medical biller. This position requires at least 1 year of experience in a medical billing setting or experience assisting with a medical billing department. This is not a training position. Calculating and collecting payments for medical procedures and services, including updating patient data, developing payment plans, and preparing invoices. Ensure that patients are billed quickly and accurately. Pay is DOE, depending on certifications and years of experience. THIS IS NOT A REMOTE POSITION. Duties include, but are not limited to the following: Billing Insurance Review accounts for insurance and patient issues Perform various collection actions, including contacting insurance companies and patients. Correction and resubmission of claims to 3rd party payers, etc. Follow up on unpaid claims Checking insurance companies regarding any discrepancies in payments Bill secondary insurance Entry of patient payments Medical billing EOB's Experience with Medicare Excellent with phones and computers Must be detailed Basic knowledge of ICD-10 CPT/HCCPS coding procedures Solve complex problems Able to multitask at a fast pace Some authorizations. Must be able to pass criminal background checks, drug screen and current reference checks. Must be at least 18 to apply. Work schedule 10 hour shift

Job Description Remote Medical Biller & Coder (Entry-Level & Experienced) Company: Rooted Talent Solutions Job Type: Independent Contractor (1099) Schedule: Flexible | Part-Time and Full-Time Opportunities ???? About the Role Rooted Talent Solutions is actively seeking remote medical billers and coders to join our healthcare support team. This is a remote, independent contractor opportunity involving medical claim processing, coding, and administrative support for healthcare providers. We're hiring both experienced professionals and motivated individuals looking to enter the field. If you're detail-oriented, organized, and eager to work from home, this could be the right opportunity for you. ???? Responsibilities Process and submit medical claims accurately and on time Assign appropriate ICD-10, CPT, and HCPCS codes Review documentation for coding compliance Follow up on denied or unpaid claims as needed Communicate with providers, payers, or clients when necessary Maintain HIPAA compliance and data security standards ???? Qualifications ✅ Preferred: Experience with medical billing, coding, or claim processing Familiarity with EHR or billing software Strong attention to detail and accuracy Basic understanding of insurance guidelines and terminology Certifications such as CPC or CBCS are a plus ???? Entry-Level Applicants: If you do not have experience, that's okay. We will consider highly motivated candidates who demonstrate strong interest in the field. Additional details regarding onboarding and training will be discussed during the interview process. ???? Position Details Location: 100% Remote Schedule: Flexible - hours vary based on client/project needs Compensation: Varies depending on experience and client placement Type: Independent Contractor (1099) ???? To Apply Submit your resume and a short message about your experience or interest in medical billing. Selected applicants will be invited to attend an interview session to learn more about current opportunities and next steps. ???? Rooted Talent Solutions is an equal opportunity contractor network. We welcome applicants of all backgrounds and are committed to fostering a supportive, remote-first work environment.

Job Description - Medical Billing and Coding Specialist Come Grow With Us! If you are a team player, have leadership skills, want to work in an exciting, fast-paced environment, where you can provide meaningful contributions and make a difference in the lives of patients. We encourage you to apply!! 1. Essential Functions: Reviews and verifies assigned codes and sequences diagnosis and procedures according to regulations (e.g., ICD-10-CM, CPT, HCPCS coding guidelines) and abstracts accurate clinical information to obtain the most specific code possible to ensure accurate health information database. Research and resolve billing problems and issues Contacts physicians or other employees for clarification of information in the patient's chart as necessary. Maintains up-to-date knowledge of coding and regulatory requirements to accurately assign codes for appropriate reimbursement of healthcare services. Utilize web-based tools, coding books, and other available resources to facilitate providing insurance and regulatory companies with the required information. Responds to inquiries from providers and various internal departments in a timely and accurate professional manner. Assigns charges for self-pay patients, bills patients for balances, collect payments from patients via phone. Reviews and updates patients' insurance and demographic information Identifies past-due bills and sends for statement processing Answers questions regarding payments and reimbursements Interacts with private and government payers to facilitate the prompt payment of accounts receivable. Other duties as assigned. 2. Skills/Abilities: Must be knowledgeable of medical and insurance terminology Ability to multi-task and learn new procedures, solve problems effectively Well organized and great attention to detail Ability to work independently and perform assigned duties effectively and efficiently Flexible, team player 3. Education/Certification: Coding Certification through AHIMA or AAPC is required (CPC, CPC-A, CCA, CCS, CCS-P, RHIT, RHIA, etc.) High School Diploma required Associate degree preferred 4. Experience: Minimum two years of coding/billing experience in a medical office or a hospital environment required EClinicalWorks EHR software experience preferred 5. Work hours and location: This is a regular, full-time position based out of our business office in Winter Springs. The opportunity of limited work from home. The typical work schedule is 40 hours/week, Monday-Friday (may include occasional weekends or after-hours). 6. Benefits: 401(k) Medical, dental, and vision insurances Disability insurance Employee assistance program Employee discounts Flexible spending account Life insurance Paid time off Professional development assistance Retirement plan Tuition reimbursement

Job DescriptionDescription: The Professional Billing Coder - Cardiothoracic / Special Surgical is responsible for accurate and compliant coding of physician professional services for complex surgical procedures. This role supports timely claim submission, regulatory compliance, and revenue integrity within a hospital-based professional billing environment. Requirements: Key Responsibilities • Assign accurate CPT, HCPCS, and ICD-10-CM codes for cardiothoracic and other special surgical services • Review operative reports, clinic notes, and supporting documentation to ensure complete and compliant coding • Apply appropriate modifiers, bundling rules, and NCCI edits • Ensure compliance with CMS, AMA, and payer-specific billing guidelines • Identify documentation gaps and communicate clarification needs as appropriate • Meet established productivity and quality standards • Participate in internal quality reviews and audits as required Required Qualifications • Minimum 2+ years of professional billing coding experience • Demonstrated experience coding cardiothoracic and complex surgical services • Strong working knowledge of CPT, ICD-10-CM, HCPCS, modifiers, and NCCI edits • CPC or equivalent coding certification preferred • Experience in hospital-based physician billing environments • Ability to work independently with strong attention to detail Work Environment Remote position with standard business hours Independent, detail-oriented work with collaboration across teams Healthcare client-focused environment with established quality standards Why Join Sage Clinical RCM Support leading healthcare organizations nationwide Collaborative and quality-driven culture Opportunity to contribute to audit accuracy and coding excellence without unrealistic productivity expectations

Job Description Fair Haven Community Health Care For over 54 years, FHCHC has been an innovative and vibrant community health center, catering to multiple generations with over 165,000 office visits across 21 locations. Guided by a Board of Directors, most of whom are patients themselves, we take pride in being a healthcare leader dedicated to delivering high-quality, affordable medical and dental care to everyone, regardless of their insurance status or ability to pay. Our extensive range of primary and specialty care services, along with evidence-based programs, empowers patients to make informed choices about their health. As we expand our reach to underserved areas, our commitment to prioritizing patient needs remains unwavering. FHCHC's mission is to enhance the health and social well-being of the communities we serve through equitable, high-quality, and culturally responsive patient-centered care. Remote in New Haven, Connecticut Job purpose Responsible for maintaining the professional reimbursement program. Ensure compliance with current payments and rules that impact billing and collection. Duties and responsibilities The Medical Billing Coder performs billing and computer functions, including patient & third party billing, data entry and posting encounters. Typical duties include but are not limited to: Follow-up of any outstanding A/R all-payers, self-pay, and the resolution of denials Prepares and submits clean claims to various insurance companies either electronically or by paper. Handle the follow-up of outstanding A/R all-payers, including self-pay and /or the resolution of denials. Answers question from patients, FHCHC staff and insurance companies. Identifies and resolves patient billing complaints. Prepares reviews and send patient statements and manage correspondence. Handle all correspondence related to insurance or patient account, contacting insurance carriers, patients and other facilities as needed to get the maximum payments and accounts and identify issues or changes to achieve client profitability. Take call from patients and insurance companies regarding billing and statement questions. Process and post all patient and/or insurance payments. Reviewing clinical documentation and provide coding support to clinical staff as needed. Qualifications High School diploma or GED with experience in medical billing is required. A certified professional coding certificate (CPC AAPC), knowledge of third party billing requirements, ICD and CPT codes, and billing practices are also required. Excellent interpersonal and communication skills and ability to work as a member of the team to serve the patients is essential. Must be detail oriented and have the ability to work independently. Bi-lingual in English and Spanish highly preferred. FQHC/EPIC experience is desirable. American with Disabilities Requirements: External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job specific functions (listed within each job specific responsibility) either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case by case basis. Fair Haven Community Health Care is an Equal Opportunity Employer. FHCHC does not discriminate on the basis of race, religion, color, sex, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need. Powered by JazzHR vo4FvLm5iT

Job DescriptionSalary: $18.00 per hour Thank you for your interest in joining our team. If youre looking to be part of a team that values integrity, humility, excellence, challenge, and life-long learning, youve come to the right place. At First Bank we believe in offering opportunities to help individuals build a long and lasting career, and we are currently seeking aTitle Insurance Clerk. The Title Insurance Clerk helps Southern Illinois Title fulfill its vision by providing quality service and creating profitable trusted relationships. Duties and Responsibilities Answers telephone calls, answers inquiries and follows up on requests for information. Travels to closings and county courthouses. Processes quotes. Researches the proper legal description of properties. Researches and obtains records at courthouse. Examines documentation such as mortgages, liens, judgments, easements, plat books, maps, contracts, and agreements to verify factors such as properties legal descriptions, ownership, or restrictions. Evaluates information related to legal matters in public or personal records. Researches relevant legal materials to aid decision making. Prepares reports describing any title encumbrances encountered during searching activities, and outlining actions needed to clear titles. Prepares and issues Title Commitments and Title Insurance Policies based on information compiled from title search. Confers with realtors, lending institution personnel, buyers, sellers, contractors, surveyors, and courthouse personnel to exchange title-related information, resolve problems and schedule appointments. Accurately calculates and collects for closing costs. Prepares and reviews closing documents and settlement statement for loan or cash closings. Obtains funding approval, verification and disbursement of funds. Conducts insured closings with clients, realtors, and loan officers. Maintains a streamline approach to meet deadlines. Records all recordable documents. Conducts 1099 reporting. Helps scan files into System. Protects the company and clients by following company policies and procedures. Performs other duties as assigned. Qualifications Skill Requirements: Analytical skills Interpreting Researching Reporting Problem solving Computer usage Verbal and written communication Detail orientation Critical thinking Complaint resolution Knowledge: Title Insurance Work experience: 5 years of banking or title insurance Certifications: None required Management experience: None required Education: High school diploma Motivations: Desire to grow in career Work Environment Work Hours: Monday through Friday, 8:00-5:00 (Additional hours may be required for company meetings or training.) Job Arrangement: Full-time, permanent Travel Requirement: Frequent travel is required for closings and research. Additional travel may be required from time to time for client meetings, training, or other work-related duties. Remote Work: The job role is primarily in-person. A personal or work crisis could prompt the role to become temporarily remote. Physical Effort: May require sitting for prolonged periods. May occasionally require moving objects up to 30 pounds. Environmental Conditions: No adverse environmental conditions expected. Client Facing Role: Yes The position offers a competitive salary, medical insurance coverage, 401K-retirement plan, and other benefits. EO / M /F/ Vet / Disability.First Bank is an equal opportunity employer. It is our policy to provide opportunities to all qualified persons without regard to race, creed, color, religious belief, sex, sexual orientation, gender identification, age, national origin, ancestry, physical or mental handicap, or veteran's status. Equal access to programs, service, and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify human resources. This application will be given every consideration, but its receipt does not imply that the applicant will be employed. Applications will be considered for vacancies which arise during the 60-day period following submission. Applicants should complete an updated application if not contacted and/or hired during this 60-day evaluation period. Replies to all questions will be held in strictest confidence. In order to be considered for employment, this application must be completed in full. APPLICANT'S STATEMENT By submitting an application Iagree to the following statement: (A) In consideration for the Banks review of this application, I authorize investigation of all statements contained in this electronic application. My cooperation includes authorizing the Bank to conduct a pre-employment drug screen and, when requested by the Bank, a criminal or credit history investigation. (B) As a candidate for employment, I realize that the Bank requires information concerning my past work performance, background, and qualifications. Much of this information may only be supplied by my prior employers. In consideration for the Bank evaluating my application, I request that the previous employers referenced in my application provide information to the Banks human resource representatives concerning my work performance, my employment relationship, my qualifications, and my conduct while an employee of their organizations. Recognizing that this information is necessary for the Bank to consider me for employment, I release these prior employers and waive any claims which I may have against those employers for providing this information. (C) I understand that my employment, if hired, is not for a definite period and may be terminated with or without cause at my option or the option of the Bank at any time without any previous notice. (D) If hired,I will comply with all rules and regulations as set forth in the Banks policy manualand other communications distributed to employees. (E) If hired,I understand that I am obligated to advise the Bank if I am subject to or observe sexual harassment, or other forms of prohibited harassment or discrimination. (F) The information submitted in my application is true and complete to the best of my knowledge. I understand that any false or misleading statements or omissions, whether intentional or unintentional, are grounds for disqualification from further consideration of employment or dismissal from employment regardless of when the false or misleading information is discovered. (G) I hereby acknowledge that I have read the above statement and understand the same.

Department: 10351 Enterprise Revenue Cycle - Coding Production Operations: Administrative Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Monday-Friday, Flexible hours This is a REMOTE Opportunity Pay Range $28.55 - $42.85 Prioritizes and codes and abstracts high dollar charts, day after discharge, as well as interim charts, at regular intervals, with a high degree of accuracy. Reviews complex medical documentation at a highly skilled and proficient level from clinicians, qualified health professionals and hospitals to assign diagnosis and procedure codes utilizing ICD CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations utilizing an EMR and/or Computer Assisted Coding software. Assigns codes for present on admission, research, Hospital acquired Conditions and Core Measure Indicators for all diagnoses both concurrently and post-discharge. Collaborates with other departments to clarify pre-bill coding documentation issues such for inpatient and outpatient to insure reimbursement and clinical outcomes. Works claim edits for all patient types and may codes consecutive/combined accounts to comply with the 72-hour rule and other account combine scenarios. Completes informal peer-review on inpatient and outpatient coders. Tracks and trends quality information from internal and external sources to partner with the educational team on opportunities. Communicates with Medical Staff, CDI, Post -bill for documentation clarification. Utilizes EMR communication tools to track missing documentation on inpatient queries that require follow-up to facilitate coding in a timely fashion. Partners with HIM, Patient Accounts, and Integrity, when needed, to help resolve issues affecting reimbursement and outcomes. Maintains current knowledge of changes in Inpatient coding and reimbursement guidelines and regulations as well as new applications or settings for coding all types of patients. Must be able to use critical decision-making skills to determine when to query to clarify documentation independently for outcomes, reimbursement and benchmarking. License/Registration/Certification: Must have a certification through American Health Information Management Association (AHIMA) or American Academy of professional Coders (AAPC) Education: Two Year associate degree or equivalent work experience Experience: Five to Seven years of inpatient coding experience in an acute care inpatient setting in an Academic Inpatient Care Tertiary Facility Knowledge, Skills & Abilities Required: Advanced proficiency of ICD, CPT and HCPCS coding guidelines. Advanced knowledge of medical terminology, anatomy and physiology. Excellent computer skills including the use of Microsoft office products, electronic mail, including exposure or experience with electronic coding systems or applications. Excellent communication (oral and written) and interpersonal skills. Excellent organization, prioritization, and reading comprehension skills. Excellent analytical skills, with a high attention to detail. Ability to work independently and exercise independent judgment and decision making. Ability to meet deadlines while working in a fast-paced environment. Ability to take initiative and work collaboratively with others. Physical Requirements and Working Conditions: Exposed to a normal office environment. Must be able to sit for extended periods of time. Must be able to continuously concentrate. Position may be required to travel to other sites; therefore, may be exposed to road and weather hazards. Operates all equipment necessary to perform the job. This indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. #REMOTE #LI-Remote Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Job DescriptionDescription: We are currently seeking an experienced and certified Medical Biller & Coder to join our dynamic remote team. The ideal candidate will have a strong understanding of CPT, ICD-10, and HCPCS coding systems, billing practices, insurance follow-up, and compliance guidelines across multiple specialties. Responsibilities: Review and accurately assign diagnosis and procedure codes for medical services. Submit and follow up on claims to commercial payers, Medicare, and Medicaid. Verify insurance eligibility and obtain authorizations as needed. Resolve claim rejections, denials, and appeals in a timely manner. Communicate with providers and staff regarding coding queries and billing concerns. Maintain confidentiality and comply with HIPAA regulations. Requirements: Requirements: Minimum 2 years of medical billing and coding experience. Active certification (CPC, CCS, or equivalent) required. Experience with EHR/EMR systems and billing software (e.g., Athena, Kareo, eClinicalWorks, etc.). Strong knowledge of coding guidelines and insurance payer requirements. Ability to work independently with excellent attention to detail. Reliable internet connection and secure remote work setup. Preferred: Experience with multiple specialties (e.g., Family Medicine, Mental Health, Internal Medicine). Familiarity with credentialing processes and RCM.

Job Description About Us At TCT, we are a therapist-owned and operated company passionate about providing exceptional Physical Therapy, Occupational Therapy, and Speech Therapy in assisted living settings. Our mission is to restore independence through compassionate and high-quality care. We take pride in fostering a supportive, close-knit culture that values collaboration and professional growth. At TCT, you'll enjoy competitive pay, flexible schedules, rewarding work, and a comprehensive benefits package. Our values-Tailored, Transformative, Transparent, Compassion, Care, and Community (T's and C's)-guide everything we do. Why Join Us? Comprehensive Benefits: Medical, dental, vision, and life insurance. Work-Life Balance: Flexible scheduling and paid time off. Recognition & Rewards: Employee reward and recognition programs. Growth Opportunities: On-the-job training and upward mobility. Position Details We're looking for a full-time Medical Biller to join our team in Columbus, OH. This on-site position is ideal for candidates who are detail-oriented, organized, and thrive in a collaborative environment. Key Responsibilities Log payments from insurance companies and patients, maintaining accurate records. Update billing addresses and contact details as needed. Follow up on delinquent payments, resolve denial instances, and file appeals. Submit claims and process billing data for insurance providers. Verify insurance benefits for new and existing clients. Administrative Support: Assist with faxing, answering calls, emails, and text messages. Requirements Minimum 1 year of medical billing experience in a healthcare setting. Associate's Degree in Medical Billing, Coding, or a related field. Proficiency with: Google Suite Microsoft Excel and Word CMS 1500 Availity platform Compensation Competitive and based on experience. Let's talk! Powered by JazzHR ut PWqSzESC

Are you an experienced billing professional looking to take the next step in your career? We are seeking a Medical Biller to join our team! In this role, you'll be responsible for executing revenue cycle workflows for our customers, ensuring optimal revenue collection while providing top-tier customer service and fostering strong relationships. Key Responsibilities: Process revenue cycle workflows, including claims, transactions, accounts receivable, coding, appeals, and payer communications. Ensure compliance with federal, state, and payer-specific regulations. Conduct research and analysis of billing and coding requirements. Collaborate with internal teams to enhance customer experience. Serve as a mentor/resource for junior team members. What We're Looking For: 2+ years of billing experience. Familiarity with clearinghouses and healthcare portals. Knowledge of ICD-10 and CPT coding. Strong communication and customer service skills. Microsoft Excel proficiency. Experience with FQHC, dental, and behavioral health billing. NextGen EPM, EDR, and Optical experience. Perks & Details: Remote Work: Enjoy full telecommuting privileges. Schedule: Monday-Friday, 8:00 AM-5:00 PM (occasional evenings/weekends as needed). Limited Travel: 5-10 days per year. Certification Requirement: Must be NextGen Certified (NCP) or obtain certification within six months of hire. If you thrive in a dynamic environment and have a passion for revenue cycle management, we'd love to hear from you! Apply today and be part of a team dedicated to excellence in healthcare revenue operations. Compensation Range Hourly Rate Range: $17.88 - $26.83

Job Description: Billing and Coding Specialist We are seeking a highly skilled and detail-oriented Billing and Coding Specialist to join our healthcare facility. The ideal candidate will have a strong background in medical billing and coding procedures and possess excellent organizational and communication skills. As a Billing and Coding Specialist, you will be responsible for ensuring accurate and timely billing processes, maximizing revenue, and minimizing discrepancies. Responsibilities: - Review and analyze medical records to assign appropriate codes using current coding guidelines (ICD-10, CPT, HCPCS). - Ensure proper documentation is obtained from healthcare providers or physicians for accurate coding and billing purposes. - Accurately enter coded data into the billing system and verify the validity of charges. - Perform audits and quality assurance checks on billing and coding processes to ensure compliance with industry regulations, guidelines, and payer requirements. - Communicate with healthcare providers, insurance companies, and patients to resolve coding and billing issues and ensure proper reimbursement. - Collaborate with other departments, such as medical records, finance, and clinical staff, to optimize billing and coding processes. - Stay updated on changes in coding and billing regulations and guidelines and ensure compliance. - Identify and correct coding errors and discrepancies to minimize claim denials and revenue loss. - Maintain up-to-date knowledge of billing and coding software systems to efficiently carry out job responsibilities. - Prepare and submit billing claims to insurance companies or government healthcare programs. Requirements: - High school diploma or equivalent, or a degree/certification in medical billing and coding. - Proven work experience as a Billing and Coding Specialist in a healthcare organization. - In-depth knowledge of ICD-10, CPT, and HCPCS coding systems and guidelines. - Familiarity with medical terminology, procedures, and services to accurately assign appropriate codes. - Proficient in using medical billing software and electronic health record systems. - Excellent attention to detail and ability to maintain accuracy in a fast-paced environment. - Strong analytical and problem-solving skills to identify and resolve coding-related issues. - Effective written and verbal communication skills for interacting with providers, insurance companies, and patients. - Strong organizational and time management skills to meet deadlines and handle multiple tasks simultaneously. - Ability to work independently and in a team, with strong interpersonal skills. - Familiarity with healthcare compliance and privacy regulations, such as HIPAA. If you have a passion for accurate coding, billing integrity, and optimizing revenue cycles, we invite you to apply for this position. Your contribution as a Billing and Coding Specialist will be crucial in ensuring the financial success of our healthcare facility and providing quality patient care.

Responsibilities * Perform insurance verification and manage documentation. * Handle referrals efficiently and accurately. * Handle medical billing * Work with Athena EMR system for patient management. * Communicate effectively with a diverse patient base, including Spanish-speaking individuals. Essential Skills * Proficiency in Athena EMR system. * Bilingual in Spanish, with strong reading, writing, and speaking abilities. * Experience with lab instrumentation and sterilization techniques. * Strong administrative skills and attention to detail. Additional Skills & Qualifications * Ability to thrive in a fast-paced, high-volume environment. * Experience with Nextgen EMR system is a plus. Job Type & Location This is a Contract to Hire position based out of Los Angeles, CA. Pay and Benefits The pay range for this position is $21.00 - $23.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully onsite position in Los Angeles,CA. Application Deadline This position is anticipated to close on Jan 24, 2026. About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.

Become an Assembler! If you are looking for a company that is focused on being the best in the industry, love being challenged, and make a direct impact on our business, then look no further! We are adding to our motivated team that pride themselves on being client-focused, biased to action, improving together, and insistent on excellence and integrity. Become an Assembler! Assembly is looking for a motivated problem solver and to meet our objectives of partnering with providers and long-term care facilities nationwide for technology and provider services. Our SNF Medical Biller will be responsible for accurate billing, meeting critical deadlines and handling multiple projects. To be successful in this role, you should have excellent analytical skills with the ability to bill Medicare, Medicaid, private insurance, and others in the skilled nursing home space. Ultimately, you will help us maintain efficient billing processes that comply with all federal and state regulations. If you are looking for a company that is focused on being the best in the industry and love being challenged and make a direct impact on our business, then look no further! We are adding to our motivated team of Assemblers that pride themselves on their strong critical thinking skills, dedication, team focused mentality, and our “can-do/go-getter” attitude. What you will do Ensure claims are billed on a timely basis and are accurate and compliant Monitor postings and billing to ensure compliance with company policies and healthcare regulations Works with commercial insurance, Medicare, Medicaid, HMO's, and clients to collect all balances. Manages actions related to delinquent accounts and minimizes write-offs May provide technical assistance to staff for training purposes and for problem solving Achieve performance goals or objectives (individual or departmental) as established by the Manager Effectively manages resources to meet department goals Communicates effectively with all levels of staff What it takes to join the family 3-4 years of proven experience as a Medical Biller in the long-term care space is essential Managing critical deadlines and keen attention to detail Knowledge of Medicare, Medicaid, private insurance, HMOs and hospice billing Knowledge of verifying payor sources and posting ancillaries and payments to various LTC systems Knowledge of state and federal nursing home guidelines, Ability to handle multiple projects, prioritizes, and tasks independently and as a team, meeting all required deadlines in a busy environment Must be resourceful and persistent and possess excellent problem resolution skills Strong written and verbal communication skills with customer service focused aptitude Detail-oriented individuals who are team players highly self-motivated Sharing our core belief system of Honesty, Candor and Trust is table stakes for joining the family Adaptable to change and willingness to learn different processes-we are Assemblers, after all! Why Assembly? Be part of something special-we are in high growth mode through organic growth and Acquisition. Career growth--your next role with Assembly might not be created yet-we are waiting for you to help us chart the way! Robust ongoing training and development programs. Standard medical benefits, 401(k) plan, Paid Time off to enjoy your time away from the office. Did we mention how much we love hosting group events? (some are virtual right now) Assembly Health, headquartered in Chicago, IL is a modern healthcare management services organization (“MSO”) that exists to promote the wellbeing of seniors, patients of all kinds, and those who serve them. Founded in 2020 in Northbrook, IL, Assembly has grown tremendously to its current footprint serving 4,000+ facilities and 200+ physician practices in more than 40 states. In conjunction with our suite of companies, Assembly™ provides an array of tech-enabled products and services including Revenue Cycle Acceleration™, marketing, logistics and compliance that help long term care communities and physician practices perform at their best. We believe that if communities and providers can function at the highest level, care for people will only get better. Compensation for this role is based on a variety of factors, including but not limited to, skills, experience, qualifications, location, and applicable employment laws. The expected salary range for this position reflects these considerations and may vary accordingly. In addition to base pay, eligible employees may have the opportunity to participate in company bonus programs. We also offer a comprehensive benefits package, including medical, dental, vision, 401(k), paid time off, and more. All official recruitment communications from Assembly Health will originate from an @assembly.health email address. Candidates are encouraged to carefully verify sender domains and remain vigilant against potential impersonation attempts. Communications from any other domain should be considered unauthorized.

Are you someone who thrives on precision and loves working with numbers? We're looking for talented Medical Billing Specialists to join our team and make a significant impact on the financial vitality of our healthcare practice! Responsibilities: Bill primary and secondary claims. New accounts are scrubbed (all data is verified and confirmed that it is entered correctly) All claims are scrubbed to (ensure codes and # units are billed correctly) Electronic claims are batched and sent through the clearinghouse Rejected claims are checked, corrected and re-billed Paper claims are printed, along with any additional documentation and mailed Un-billable claims are sent back to FD with notes (regarding what is needed and that once received back, corrected claims are billed) Verify patient insurance coverage and benefits for physical therapy services, including eligibility, copays, deductibles, and any pre-authorization requirements. Communicate with insurance companies, patients, and healthcare providers to obtain and clarify insurance information. Ensure all insurance verification information is accurately documented in patient records and billing systems. Perks: Health Maintenance Organization (HMO) Government-mandated benefits Highly-competitive compensation package Opportunities for career growth and development Fun and healthy working environment Must have solid experience as a Medical Biller Knowledgeable in medical coding and experienced with healthcare billing systems Must have experience working for US hospitals or Private Doctor Practice Knowledgeable about insurance verification Ability to speak and write English proficiently Happy and Helpful by nature

Requirements Proficient knowledge of ICD-10/HCPCS Proficient knowledge of Microsoft office & Google based webpages A/R Follow-up experience (Preferred) Collections experience (Preferred) Physical Therapy Claims experience ( Preferred ) Ability to multi-task & a keen attention to detail a must Minimum of 2+ Years of Medical Billing experience (outside of schooling / externship). *Remote work setting available after completion of on-site training/probationary period. At the discretion of management and needs of the company. Note: This job description is intended to provide a general overview of the position. It is not an exhaustive list of all responsibilities, skills, or qualifications required for the role. *Sunbelt Healthcare provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Salary Description $16.00

GoTo Telemed seeks an exceptional Remote Medical Biller to manage comprehensive Revenue Cycle Management (RCM) operations for our rapidly expanding telehealth platform serving multiple medical specialties and healthcare providers nationwide. As a key member of our distributed RCM team, you will process, manage, and optimize medical claims for an increasing portfolio of telehealth providers-with new clients and provider networks added every month as our organization scales. In this critical role, you will be the financial backbone of our provider network, managing the complete end-to-end billing lifecycle including patient eligibility verification, insurance claim submission, payment posting, accounts receivable follow-up, and comprehensive denial management. Your expertise in medical coding (CPT, ICD-10-CM, HCPCS), telehealth modifiers, payer policies, and compliance will directly impact provider revenue, patient satisfaction, and our organizational growth trajectory. This position offers exceptional opportunity for professional growth, career advancement, and organizational scaling as GoTo Telemed expands its provider network and service offerings monthly. You will receive comprehensive training, access to cutting-edge RCM tools and resources, and mentorship to develop into a senior RCM specialist or team lead. Why Join GoTo TelemedUnlimited Growth Opportunity Monthly Provider & Client Expansion: As GoTo Telemed adds new healthcare providers and medical specialties every month, your responsibilities and earning potential expand proportionally Scalability without Chaos: We implement systematic processes, training, and resources to ensure smooth scaling-you grow professionally without being overwhelmed Career Advancement Path: Progress from Medical Biller → Senior Biller → RCM Team Lead → RCM Manager → Director of Revenue Operations Skill Diversification: Work with multiple medical specialties (primary care, cardiology, orthopedics, behavioral health, urgent care, etc.), expanding your coding and compliance expertise Comprehensive Support & Resources Professional Training Programs: Formal onboarding, continuous education on CPT/ICD-10 updates, telehealth policy changes, and payer-specific requirements Certification Support: Full reimbursement for CPB, CPC, CCA, or other healthcare credentials; study time and exam fees covered Advanced RCM Technology: Access to best-in-class practice management systems, claims clearinghouses, coding software, and automation tools Expert Mentorship: Paired with experienced RCM professionals for guidance on complex coding scenarios, denial resolution, and process optimization Peer Collaboration: Work with a talented distributed team of medical billers, coders, and RCM specialists-regular team meetings, knowledge sharing, and collaborative problem-solving Remote Work Flexibility 100% Work-from-Home: Eliminate commuting; work from anywhere with reliable internet Flexible Schedule: Core hours 8 AM - 5 PM CST, with flexibility for medical appointments, personal needs, and work-life balance Home Office Support: $500 annual stipend for home office equipment, internet upgrades, and ergonomic setup Distributed Team Culture: Collaborate with colleagues across time zones; async communication tools support flexible scheduling Financial Rewards & Growth Performance-Based Incentives: Earn bonuses based on claims processed, approval rates, AR reduction, and denial prevention-your accuracy and efficiency directly increase earnings Annual Raises & Reviews: Merit-based salary increases tied to performance, certifications, and expanded responsibilities Unlimited Earning Potential: As the provider network grows, so do opportunities for higher-volume processing, team oversight, and management roles with corresponding salary increases Transparent Compensation: Clear performance metrics and bonus structure; you always know how to increase earnings Primary ResponsibilitiesInsurance Eligibility & Verification Verify patient medical insurance eligibility and benefits prior to telehealth appointment scheduling using secure insurance verification portals and phone verification Confirm coverage details including deductibles, out-of-pocket maximums, copays, coinsurance, frequency limitations, and telehealth coverage status Identify medical necessity requirements, pre-authorization, and referral requirements; obtain all necessary approvals before service delivery Maintain accurate, current insurance information in practice management systems; update policies when changes occur Identify coverage gaps, exclusions (telehealth limitations, specialty exclusions, etc.), and conditions affecting billing and collections Document all verification activities and flag special requirements or coverage concerns for clinical and billing teams Patient Registration & Demographics Ensure complete, accurate patient demographic and insurance data capture at appointment booking Validate patient information accuracy (name, date of birth, insurance policy numbers, group numbers, member IDs, etc.) Update patient records when insurance changes, policies renew, or coverage terminations occur Communicate patient financial responsibilities, copays, deductibles, and projected out-of-pocket costs before service delivery Capture patient consent for services and billing; document in compliance with HIPAA and state telehealth regulations Medical Coding & Claims Preparation Accurately code telehealth visits and medical services using Current Procedural Terminology (CPT) codes and appropriate modifiers Assign correct ICD-10-CM codes for all diagnoses documented in clinical notes Apply telehealth-specific modifiers (93 for audio-only, 95 for audio/video synchronous, GT, FQ, FR) in accordance with payer policies and CMS guidance Verify correct place of service (POS) coding for telehealth encounters (POS 02 for provider office, POS 10 for patient home, POS 11 for patient location as specified) Ensure complete charge capture and accurate medical necessity documentation; identify any missing information before claim submission Review clinical documentation for specificity (laterality, severity, complexity) and communicate coding queries to providers when documentation is insufficient Stay current with annual CPT/ICD-10 updates, new telehealth codes (98000-series), and payer-specific coding requirements Claims Submission & Management Submit medical claims electronically through clearinghouses (837 EDI format) within 3-5 days of service delivery Prepare and manage claims via multiple submission pathways: electronic clearinghouse, direct payer portals, and print-to-mail for specific payers or situations Track all submitted claims with documentation of submission date, claim number, claim status, and clearinghouse identification Monitor claim status continuously; flag claims at risk of denial or delay for proactive follow-up Manage front-end claim edits and rejections; correct claim errors and resubmit within 24 hours Comply with all payer-specific requirements: claim format, documentation attachments, modifier usage, and submission deadlines Maintain detailed claim tracking logs for audit and reporting purposes Accounts Receivable (AR) Follow-Up & Collections Monitor outstanding claims daily; conduct systematic follow-up on all claims past 15, 30, 45, and 60 days Contact insurance companies via phone, email, and secure payer portals to obtain claim status, identify delay reasons, and resolve pending issues Review Explanations of Benefits (EOBs) and identify payment discrepancies, underpayments, or improper adjustments Send timely patient statements weekly for patient responsibility balances exceeding 30 days Follow up on patient balances through professional phone calls, patient statements, and secure messaging Implement systematic collection procedures for patient accounts 30+ days past due Negotiate payment plans and settlements with patients while maintaining professional, ethical communication Document all collection activities, patient communications, and payment arrangements in patient records Maintain compliance with Fair Debt Collection Practices Act (FDCPA) and state collection laws Claims Denial Management & Appeals Analyze all claim denials and rejections; identify root causes (coding errors, missing documentation, eligibility issues, medical necessity, prior authorization gaps, etc.) Prepare corrected claims with necessary documentation changes; resubmit per payer guidelines Prepare formal written appeals for denied claims with supporting clinical documentation and policy justification Track appeal submissions and responses; resubmit appeals as needed until resolution Calculate impact of denials on provider revenue; prioritize high-value or recurring denials for focused remediation Maintain denial tracking reports to identify patterns by payer, code, diagnosis, or provider Implement process improvements to prevent recurrence of common denial reasons Identify underpayments and contractual adjustment errors; prepare documentation for recovery or credit adjustment Payment Posting & Reconciliation Post insurance payments and Explanations of Benefits (EOBs) to patient accounts accurately and timely Reconcile posted EOBs with submitted claims and identify discrepancies, missing payments, or claim-to-claim variation Post patient payments from multiple sources: patient payments, payment plans, refund processing Apply payments to correct patient accounts and claim lines; maintain clear audit trail for all transactions Process contractual adjustments and write-offs per payer fee schedules and provider agreements Reconcile monthly insurance payments and EOBs with banking records; reconcile provider revenue reports Identify and resolve payment discrepancies, missing EOBs, and payment delays within 5 business days Print-to-Mail Operations Identify claims, appeals, and patient statements requiring physical mail delivery per payer requirements Prepare documentation for printing and mailing; ensure compliance with HIPAA Privacy Rule requirements Maintain print-to-mail logs with tracking information and addresses Verify patient and provider mailing addresses; ensure HIPAA-compliant delivery Track delivery of critical documents using postal tracking when available and appropriate Reporting & Analytics Generate daily claim processing reports (claims submitted, claims pending, claims approved) Produce weekly and monthly revenue cycle reports including: Days in Accounts Receivable (DAR) by payer Claim submission volume and claim approval rates Denial rates, denial reasons, and denial trends Patient collection rates and aging AR analysis Payment posting timeliness and payment discrepancies Clean claim rates (first-pass acceptance) Identify trends and process improvement opportunities; communicate findings to management Track Key Performance Indicators (KPIs) and compare performance against industry benchmarks Support management reporting and financial forecasting Requirements Compliance & Documentation Maintain strict adherence to HIPAA Privacy Rule, Security Rule, and Breach Notification Rule Ensure all patient communications comply with state-specific telehealth patient rights and privacy requirements Follow OIG compliance program guidelines including periodic HHS OIG LEIE database checks Comply with Anti-Kickback Statute (AKS), Stark Law, and False Claims Act requirements in all billing activities Document all billing activities, communications, and decisions in patient records for audit readiness Maintain confidentiality of patient Protected Health Information (PHI) at all times Report potential compliance concerns through established compliance and ethics channels Participate in compliance training annually and whenever policies are updated Multi-Specialty & Multi-Payer Experience Manage claims across multiple medical specialties and service types as GoTo Telemed expands its provider network Learn specialty-specific coding requirements (behavioral health, primary care, specialty visits, behavioral health, etc.) Adapt to evolving payer policies and coverage decisions as new providers and payers are added monthly Share knowledge with new team members as the RCM team scales Support training of new medical billers joining the team Required Qualifications & SkillsEducation & Certification High school diploma or GED required Formal training in medical billing, medical coding, healthcare administration, or related field required Current or willingness to obtain medical billing certifications within 12 months: Certified Professional Biller (CPB) through AAPC (preferred) Certified Professional Coder (CPC) through AAPC (preferred) Certified Coding Associate (CCA) through AAPC Certified Healthcare Billing and Management Executive (CHBME) Comprehensive, current knowledge of: CPT codes and medical coding principles ICD-10-CM diagnostic coding HCPCS Level II codes Telehealth-specific modifiers (93, 95, GT, FQ, FR) Medical terminology and anatomy. Professional Experience Demonstrated telehealth/telemedicine billing experience strongly preferred Hands-on experience with insurance verification and patient eligibility determination Professional experience with medical claims submission (electronic and paper) Direct accounts receivable follow-up and patient collections experience Denial management and claims appeal experience EOB/ERA reconciliation and payment posting experience Experience with multiple medical specialties (primary care, urgent care, specialty practices, etc.) preferred Experience with multi-state provider networks and varying payer policies preferred Technical Skills & Software Proficiency Advanced proficiency with Microsoft Office Suite (Excel, Word, Outlook) Hands-on experience with medical billing software and practice management systems (eClinicalWorks, Athenahealth, Kareo, NextGen, Medidata, or similar platforms) Proficiency with electronic health record (EHR) systems common to telehealth environments Experience with insurance company portals, claim submission systems, and clearinghouses (Availity, Change Healthcare, Emdeon, NTPC) Strong data entry, spreadsheet, and database management skills Familiarity with medical coding software and/or encoder systems (OptumInsight, Codebook, Pathways, etc.) Ability to navigate multiple software platforms simultaneously and switch between systems efficiently Comfort learning new software and platforms quickly as organizational tools evolve Compliance & Regulatory Knowledge Comprehensive understanding of HIPAA Privacy Rule, Security Rule, and Breach Notification Rule Working knowledge of OIG Anti-Kickback Statute, Stark Law, and exclusion list compliance Understanding of CMS Medicare policies, modifiers, and reimbursement methodologies for telehealth Knowledge of state-specific telehealth regulations and billing requirements (particularly states where GoTo Telemed operates) Familiarity with medical necessity and coverage determination processes Understanding of CPT coding standards, payer-specific coding guidelines, and LCD/NCD policies Knowledge of Explanation of Benefits (EOB) interpretation and claim-to-EOB reconciliation Soft Skills & Competencies Attention to Detail: Exceptional accuracy in data entry, coding, claims processing, and payment reconciliation; ability to spot and correct errors Communication: Strong written and verbal communication skills for professional interaction with patients, insurance companies, healthcare providers, and internal teams; ability to explain complex billing concepts clearly Problem-Solving: Analytical ability to investigate claim denials, identify root causes, research payer policies, and implement solutions Time Management: Ability to prioritize multiple tasks, manage high claim volumes, and meet established deadlines consistently Customer Service: Patience, professionalism, and empathy when handling patient billing inquiries and collections conversations Organization: Ability to maintain accurate records, manage complex workflows, and track multiple claims across stages Analytical Thinking: Ability to interpret EOBs, identify trends, create process improvements, and contribute to data-driven decision-making Professionalism: Unwavering commitment to ethical billing practices, regulatory compliance, and patient confidentiality Adaptability: Ability to learn new systems, adjust to evolving payer policies and regulations, and handle changing priorities Self-Direction: Ability to work independently in a remote environment; strong self-motivation and ownership of responsibilities Growth Mindset: Enthusiasm for professional development, certification, and expanding expertise across specialties and payers Preferred Qualifications Active Certified Professional Biller (CPB) or Certified Professional Coder (CPC) certification Experience with multiple state healthcare regulations and licensure requirements Knowledge of managed care, capitation, and alternative reimbursement models Experience with RPA (Robotic Process Automation) or medical billing automation and workflow tools Behavioral health or mental health telehealth billing experience Multi-specialty coding experience (primary care, urgent care, orthopedics, cardiology, etc.) Experience with insurance appeals, litigation support, and legal hold documentation Bilingual capabilities (English + Spanish or other languages aligned with patient populations) Previous experience in medical billing team leadership or mentoring Knowledge of healthcare revenue cycle analytics and financial reporting Experience with vendor management or integration of multiple billing systems Work Environment & Schedule Work Setting: 100% Remote (work from home); operates from any location within the United States with reliable high-speed internet Core Hours: 8:00 AM - 5:00 PM CST, Monday-Friday Schedule Flexibility: Schedule flexibility available within core hours for medical appointments, personal needs, and work-life balance; manager approval required for significant changes Occasional Overtime: May be required during high-volume periods, month-end close, or AR aging campaigns (paid at overtime rate) Shift Availability: Willingness to adjust schedule to accommodate new provider launches or peak processing periods (communicated in advance) Communication: Regular availability via email, chat, video calls, and phone during core hours; async communication tools support flexible coordination Technology Requirements: Personal computer (Windows or Mac, meeting minimum specifications), dual monitors recommended for efficiency, high-speed internet (minimum 25 Mbps), secure encrypted data storage, HIPAA-compliant communication devices Professional Development: Participation in monthly training, quarterly compliance updates, and annual strategy meetings (some may be virtual group sessions) Physical & Mental Demands Ability to sit for extended periods at a computer workstation (6-8 hours daily) Ability to read small print and review detailed documentation accurately; comfort with computer screens for extended periods Strong focus and concentration for sustained periods; ability to maintain accuracy amid distractions Emotional resilience when managing difficult collection conversations and high-pressure situations Ability to multitask and context-switch between claims, patients, and payers while maintaining accuracy Ability to handle sensitive patient information with discretion and professionalism Physical dexterity for keyboard and mouse use Reliable, stable internet connection and quiet workspace environment Compliance, Background & Regulatory Requirements Pre-Employment & Ongoing Verification: OIG Exclusion List Check: Candidate will be checked against HHS OIG LEIE database before hire; periodic re-verification conducted annually Background Check: Standard criminal background check required per healthcare industry standards; no felony convictions or healthcare fraud history State Medical Billing License Verification: If applicable to candidate's state, verification of any required healthcare administrative or medical billing licenses Tax Identification Verification: W-4 and IRS verification for employment eligibility HIPAA Compliance Certification: Mandatory HIPAA Privacy and Security training required before starting date; annual recertification required Professional Conduct Agreement: Signature confirming commitment to ethical billing practices, fraud and abuse law compliance, and state medical practice regulations Exclusion List Monitoring: Candidate agrees to annual re-verification against HHS OIG LEIE and state-specific exclusion databases during employment Confidentiality & NDA: Execution of Business Associate Agreement (BAA) and non-disclosure agreement

We are seeking a skilled Medical Biller to join our client's healthcare team. The ideal candidate will be responsible for accurately and efficiently processing medical claims and invoices, ensuring timely reimbursement from insurance companies and patients. The Medical Biller will work closely with healthcare providers, insurance companies, and patients to resolve billing discrepancies and ensure compliance with regulatory requirements. Requirements Job Responsibilities: Claims Processing: Prepare and submit accurate medical claims to insurance companies, Medicare, and Medicaid for reimbursement. Billing: Generate and send invoices to patients for services rendered, following up on outstanding balances and resolving billing discrepancies. Insurance Verification: Verify patients' insurance coverage and eligibility, ensuring all necessary authorizations and referrals are obtained before services being rendered. Coding: Assign appropriate medical codes (ICD-10, CPT, HCPCS) to diagnoses and procedures for billing purposes, ensuring compliance with coding guidelines and regulations. Payment Posting: Record and reconcile payments received from insurance companies and patients, applying them to the appropriate accounts in the billing system. Denial Management: Investigate and appeal claim denials and rejections, identifying and addressing root causes to prevent future issues. Patient Communication: Communicate with patients regarding billing inquiries, payment plans, and financial assistance options, providing excellent customer service while resolving concerns. Documentation: Maintain accurate and up-to-date records of billing activities, including claims submissions, payments, and correspondence with insurance companies and patients. Compliance: Adhere to all relevant healthcare regulations, including HIPAA and billing compliance guidelines, to ensure the integrity and confidentiality of patient information. Requirements Education: High school diploma or equivalent required; additional medical billing and coding certification is preferred. Experience: Minimum of one year of experience in medical billing, preferably in a healthcare setting. Knowledge: Proficient in medical terminology, billing software (e.g., Epic, Cerner), and insurance claim processing procedures. Skills: Strong attention to detail, excellent organizational and time management skills, and the ability to multitask in a fast-paced environment. Communication: Effective verbal and written communication skills, with the ability to interact professionally with patients, providers, and insurance representatives. Problem-Solving: Demonstrated ability to analyze billing issues, identify solutions, and implement process improvements to optimize revenue cycle management. Teamwork: Ability to collaborate with colleagues across departments to resolve billing-related issues and achieve organizational goals. Minimum Technical and Work Environment Requirements: Internet Connection: Primary internet connection with a minimum speed of 15 Mbps. Backup internet connection with at least 10 Mbps. Backup connection must be capable of supporting work during a power outage. Primary Device: Desktop or laptop equipped with at least: Intel Core i5 (8th generation or newer), Intel Core i3 (10th generation or newer), AMD Ryzen 5, or an equivalent processor. A minimum of 8 GB RAM. Backup Device: Must meet or exceed the performance of an Intel Core i3 processor. Must be functional during power interruptions. Peripherals and Workspace: A functioning webcam. A noise-canceling USB headset. A quiet, dedicated home office space. A smartphone for communication and verification purposes. Benefits Join Our Dynamic Team: Experience our fun, inclusive, innovative culture that values your unique contributions and supports your professional growth. Embrace the Opportunities: Seize daily chances to learn, innovate, and excel. Make a real impact in your field. Limitless Career Growth: Unlock a world of possibilities and resources to propel your career forward. Fast-Paced Thrills: Thrive in a high-energy, engaging atmosphere. Embrace challenges and reap stimulating rewards. Flexibility, Your Way: Embrace the freedom to work from home or any location of your choice. Create your ideal work environment. Work-Life Balance at Its Best: Say goodbye to stressful commutes and hello to quality time with loved ones. Achieve a healthy work-life integration to perform at your best.

At Labcorp, you are part of a journey to accelerate life-changing healthcare breakthroughs and improve the delivery of care for all. You'll be inspired to discover more, develop new skills and pursue career-building opportunities as we help solve some of today's biggest health challenges around the world. Together, let's embrace possibilities and change lives! **Billing Coordinator III (Billing Specialist Subsidiary) REMOTE** Labcorp is seeking to add a **Subsidiary Billing Specialist (Appeals)- Revenue Cycle Management Division!** This **individual** will be primarily responsible for maximizing revenue for the company. This team interacts with health insurers to secure coverage and reimbursement for our patients. The Subsidiary Billing Specialist (Appeals) is expected to understand all aspects of the insurance appeal process and can identify insurance trends and provide impactful feedback. The result of our work is an innovative, flexible, highly scalable **billing operation** in a collaborative, fast-paced team environment. **Responsibilities:** + Performs research of payer rejections and denials in regards to genetic testing claims + Produces high volume of successful appeals to insurance carriers to obtain payment + Collaborates with multiple teams and to develop best practices and resolve denial issues + Reviews payor medical policies to determine cause of denial + Consistently follows -ups with insurances on payor denials + As needed, communicate via telephone with clients, professionally and concisely. + Participates in projects that extend beyond your day to day to stretch you to think outside the box **Qualifications:** + High School Diploma or equivalent required + Minimum two+ years prior experience dealing with healthcare billing, insurances/claims or accessing payor portals required + Experience with Explanation of Benefits (EOBs) and different denials & denial codes from insurances strongly preferred + Experience with Medicare/Medicaid/ HMOs/PPOs/commercial insurances strongly preferred + Revenue Cycle Management (RCM) experience, strongly preferred + Knowledge/experience with Xifin, CRM applications (i.e. Salesforce) preferred **Other desired skills:** + Concise and professional communication skills to interact with clients, team members and management via various methods, i.e., telephone, email and virtually. + Detail oriented with good organizational skills + Ability to multitask within multiple systems + Adaptable with changing duties, following an SOP but able to problem solve and deviate as required by specific requests + Ability to manage time and tasks independently while working under minimal supervision + Professional and courteous email communication + Possess a strong work ethic and commitment to improving patients' lives + Enjoys problem-solving in a dynamic, fast paced, team-based and rapidly changing environment **Remote Work, requirements** + Dedicated work from home space + Internet download speed of at least 50 megabytes per second **Application Window Closes: 1/1/2026** **Pay Range: $** **17.75 - $21.00 per hour** **Shift: Mon-Fri, 9:00am - 6pm Eastern Time** All job offers will be based on a candidate's skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data. **Benefits:** Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Casual, PRN & Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only. Employees who are regularly scheduled to work a 7 on/7 off schedule are eligible to receive all the foregoing benefits except PTO or FTO. For more detailed information, please click here (************************************************************** . **Labcorp is proud to be an Equal Opportunity Employer:** Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law. **We encourage all to apply** If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site (**************************************************** or contact us at Labcorp Accessibility. 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