Medical Billing Specialist

Your Opportunity
We are seeking a detail-oriented and experienced Medical Billing Associate to join our remote Revenue Cycle Management team. This role is responsible for the full billing cycle — from accurate code assignment and claim submission through payment posting, denial resolution, and collections — with a focus on clean claims, timely reimbursement, and compliance.

What You’ll Do
Billing, Coding & Claims
Review clinical documentation and assign accurate diagnosis and procedure codes in accordance with payer guidelines and coding regulations (ICD-10, CPT, HCPCS).
Process and submit insurance claims, ensuring coding accuracy and compliance with payer-specific requirements.
Verify claim accuracy prior to submission and resolve billing discrepancies proactively.
Collections & A/R Follow-Up
Investigate and follow up on unpaid balances, underpayments, and outstanding claims.
Work directly with insurance carriers to resolve reimbursement issues and recover collectible dollars.
Track, submit, and follow up on appeals and reconsiderations through resolution.
Payment Posting & Account Maintenance
Accurately post insurance and patient payments to accounts.
Maintain clear, concise, and timely notations of all account activity.
Maintain accurate patient billing records and documentation in the practice management system.
Compliance & Collaboration
Stay current on coding updates, payer policy changes, and industry regulations.
Collaborate with providers and administrative staff to support efficient, compliant billing operations.
Assist with internal audits and implement best practices to improve billing accuracy and clean claim rates.
Adhere to established procedures, protocols, and HIPAA requirements; escalate complex issues to supervisor as appropriate.
Complete additional tasks as assigned.

What You Bring
3+ years of experience in medical billing and coding within a healthcare setting.
Experience in Sleep Medicine and/or DME billing strongly preferred.
Strong understanding of medical coding standards (ICD-10, CPT, HCPCS), billing workflows, and insurance claim processes.
Professional coding certification (CPC, CCS, RHIT, or RHIA) is a plus.
Experience working with private medical practices or outpatient clinics preferred.
Exceptional attention to detail, accuracy, and organizational skills.
Strong critical thinking and problem-solving ability, with capacity to work through complex claim and reimbursement issues.
Excellent written and verbal communication skills.
Ability to work independently and manage priorities in a remote environment.
Genuine interest in sleep, health, and helping people better understand and improve their well-being.