<p>We are seeking an experienced (Remote) Medical Billing Specialist to manage end‑to‑end billing functions using eClinicalWorks. This remote role is responsible for claim submission, payer follow‑up, collections, and quality control across multiple providers, with exposure to concierge and out‑of‑network billing models. The ideal candidate is detail‑oriented, payer‑savvy, and comfortable managing both payer and patient communications while driving A/R resolution. eClinicalWorks is a MUST,</p><p><br></p><p>Key Responsibilities:</p><p><br></p><ul><li>Using eClinicalWorks for a medical billing and collections functions. </li><li>Manage end‑to‑end medical billing, including claim submission, follow‑ups, payment resolution, and collections</li><li>Review charges and support coding accuracy for approximately 3–4 multi‑specialty providers prior to claim submission</li><li>Perform quality control and audit reviews of billing work completed by the billing team</li><li>Handle courtesy out‑of‑network (OON) billing and support concierge‑model practices</li><li>Manage high‑volume phone and email correspondence with insurance payors and patients</li><li>Follow up on unpaid, denied, or underpaid claims to reduce A/R backlog</li><li>Support sales collections and reimbursement initiatives</li><li>Maintain accurate billing documentation and detailed account notes</li><li>Ensure compliance with payer requirements, internal workflows, and industry best practices.</li></ul><p><br></p><p>Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.</p>
<p>We are looking for a detail-oriented Medical Insurance Claims Specialist to join our team on a long-term contract basis. In this role, you will play a critical part in ensuring the accuracy, compliance, and quality of claims processing within the healthcare industry. Working remotely but closely with the team based in San Diego, California, you will help support better financial and member outcomes while contributing to a collaborative and fast-paced environment. NOTE: (Only for New Mexico Residents) </p><p><br></p><p>Responsibilities:</p><p>• Conduct audits of pre-lag reports to verify accuracy, completeness, and compliance with established turnaround times.</p><p>• Investigate and resolve member out-of-pocket concerns to ensure proper claims adjustments.</p><p>• Monitor daily pre-lag reports for assigned regions and escalate compliance issues as needed.</p><p>• Analyze daily, weekly, and check-run reports for assigned IPAs to identify potential errors or inconsistencies.</p><p>• Notify management promptly about compliance concerns related to claims payment timelines.</p><p>• Perform quality reviews of claims processes to ensure adherence to organizational standards.</p><p>• Collaborate with team members to identify trends and root causes of recurring issues.</p><p>• Assist with benefit interpretation and claims adjustments using EZCap or similar platforms.</p><p>• Maintain documentation and provide detailed audit reports to support continuous improvement initiatives.</p><p>• Support the implementation of quality measures and compliance protocols within claims operations.</p>
<p>We are seeking an experienced Medical Billing Specialist to manage end‑to‑end billing functions for an Ear, Nose & Throat (ENT) healthcare practice. This remote role is responsible for claim submission, payer follow‑up, collections, and quality control across multiple providers, with exposure to concierge and out‑of‑network billing models. The ideal candidate is detail‑oriented, payer‑savvy, and comfortable managing both payer and patient communications while driving A/R resolution.</p><p><br></p><p>Key Responsibilities:</p><p><br></p><ul><li>Manage end‑to‑end medical billing, including claim submission, follow‑ups, payment resolution, and collections</li><li>Review charges and support coding accuracy for approximately 3–4 multi‑specialty providers prior to claim submission</li><li>Perform quality control and audit reviews of billing work completed by the billing team</li><li>Handle courtesy out‑of‑network (OON) billing and support concierge‑model practices</li><li>Manage high‑volume phone and email correspondence with insurance payors and patients</li><li>Follow up on unpaid, denied, or underpaid claims to reduce A/R backlog</li><li>Support sales collections and reimbursement initiatives</li><li>Maintain accurate billing documentation and detailed account notes</li><li>Ensure compliance with payer requirements, internal workflows, and industry best practices.</li></ul><p><br></p><p>Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.</p><p><br></p>