<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 motivated Medical Billing Associate to join our client's team. This is a remote position, but you must be able to support PST working hours. In this contract role, you will be responsible for managing billing and collection processes, ensuring timely reimbursement, and maintaining clear communication with patients, government agencies, and third-party payers. This position offers an excellent opportunity to contribute to a dynamic environment while honing your skills in medical billing and claim administration.</p><p><br></p><p>Responsibilities:</p><p>• Communicate with patients, government agencies, and third-party payers to gather and process information for reimbursement.</p><p>• Review, correct, and submit claims to payers while ensuring compliance with established procedures.</p><p>• Investigate unpaid accounts, initiate appropriate actions for collection, and follow up to achieve expected results.</p><p>• Perform claim appeals, including obtaining necessary charge information and coding updates.</p><p>• Calculate write-offs and adjustments to ensure accurate account balances.</p><p>• Monitor productivity and quality metrics to meet or exceed performance expectations.</p><p>• Provide general office support and assist with additional tasks as needed.</p><p>• Prepare billing and collection documentation for distribution to relevant parties.</p><p>• Ensure adherence to organizational policies, including vaccination requirements and compliance with E-Verify regulations.</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>
<p>We are looking for a skilled Clinical Consultant to join our team on a contract basis.This role focuses on supporting a strategic benefit digitization initiative, ensuring consistent and accurate coding practices across diverse markets. As part of a healthcare organization advancing its digital transformation, you will play a vital role in optimizing member and provider experiences while ensuring compliance with regulatory standards.</p><p><br></p><p>Responsibilities:</p><p>• Apply standardized coding practices to interpret and digitize benefit structures effectively.</p><p>• Develop and manage groupings of procedures and service codes to ensure accurate alignment with benefit plans.</p><p>• Maintain and update industry-standard codes quarterly and annually, along with benefit plan modifications throughout the year.</p><p>• Execute coding solutions for benefit administration across multiple markets, including customized coding for nonstandard requests.</p><p>• Ensure coding practices comply with regulatory mandates and support updates as needed.</p><p>• Provide expert consultation on coding inquiries to project teams and business partners.</p><p>• Collaborate with cross-functional project teams to contribute coding expertise for successful implementations.</p><p>• Support benefit digitization initiatives by leveraging advanced coding methodologies and tools.</p><p>• Assist in designing and implementing digital capabilities that align with organizational goal</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 looking for a Patient Accounts Insurance Specialist to join our team on a contract basis. In this role, you will play a vital part in ensuring the accurate billing and processing of insurance claims while adhering to established guidelines and procedures. This position requires strong attention to detail, excellent communication skills, and a thorough understanding of medical billing and coding practices. This role is part time, approximately 10 hours a week.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit insurance claims using appropriate codes and ensure compliance with billing guidelines.</p><p>• Review new patient admissions to accurately bill based on facility, state, funding plan, and contract requirements.</p><p>• Maintain detailed knowledge of coding systems such as ICD-10 and claim field requirements for both facility and detail-oriented services.</p><p>• Utilize electronic claim submission systems and clearinghouses efficiently.</p><p>• Interpret and adhere to billing policies and procedures specific to the organization's facilities and states.</p><p>• Communicate effectively with patients, guarantors, and insurance companies to clarify billing processes and resolve concerns.</p><p>• Coordinate conference calls to address complex insurance issues involving patients and insurance representatives.</p><p>• Perform regular account reviews and follow up on outstanding claims in accordance with established procedures.</p><p>• Ensure claims are processed accurately by researching insurance payments and performing detailed reviews.</p><p>• Work collaboratively with managed care staff for precertification needs and appeals processes.</p>
We are looking for a highly organized and experienced Part-Time Bookkeeper with a focus on legal billing to join our team remotely. This role offers flexibility to set your own schedule while dedicating 25–30 hours per week to maintaining accurate financial records and supporting legal billing operations. The ideal candidate will bring expertise in legal accounting practices and thrive in an independent, remote work environment.<br><br>Responsibilities:<br>• Oversee legal billing processes, including preparing and managing client invoices.<br>• Maintain precise accounting records and perform reconciliations using QuickBooks.<br>• Generate monthly financial statements and other necessary reports.<br>• Collaborate with attorneys and staff to ensure proper recording of billable hours and client payments.<br>• Handle accounts payable and accounts receivable tasks with accuracy.<br>• Conduct bank reconciliations to ensure financial records are up-to-date.<br>• Assist with additional bookkeeping responsibilities as needed.<br>• Ensure compliance with legal accounting standards and practices.
<p>Join our team as a <strong>Remote Inpatient Coding Specialist</strong> and play an essential role in ensuring accurate medical coding and billing processes. As a subject matter expert, you will use your knowledge of ICD-10-CM, ICD-10-PCS, HCPCS, NCCI, CMS, and CMG coding standards to review appeals and denials. Your expertise will help substantiate coding principles, address potential billing and coding concerns, and maintain high-quality standards in documentation. This is a fully remote position.</p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am -5p EST with flexibility</p><p><br></p><p>Responsibilities:</p><ul><li>Apply medical coding principles and industry guidelines objectively during appeals and denial review processes.</li><li>Leverage knowledge of ICD-10-CM, ICD-10-PCS, HCPCS, NCCI, CMS, and CMG to identify, analyze, and resolve billing and coding issues.</li><li>Assess quality concerns by verifying adherence to regulatory requirements and best practices.</li><li>Participate in client system education to gain familiarity with specific platforms and workflows.</li><li>Ensure all appeals are accurately supported by clinical documentation, coding/CDI guidelines, and regulatory standards.</li><li>Collaborate with clients and internal stakeholders to clarify documentation and coding requirements.</li></ul>
<p>Our company is searching for a<strong> Remote DRG Coding Auditor </strong>to join our team, performing in-depth documentation and coding audits for our healthcare clients. In this audit-focused role, you’ll conduct independent reviews of inpatient medical records, evaluating the accuracy of diagnosis and procedure codes to ensure optimal reimbursement and compliance with official guidelines, regulatory requirements, and ethical standards. Leveraging your deep knowledge of DRG payment systems (such as MS, APR, and Tricare), you’ll assess coding accuracy, documentation integrity, and identify opportunities for coder education and documentation improvement. This is a fully remote position and you can live anywhere within the US.</p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am - 5pm EST with some flexibility within the daily hours by about 2-3 hours </p><p><br></p><p><strong>Responsibilities for the position include the following:</strong></p><ul><li>Perform comprehensive audits of all acute inpatient medical records to identify coding errors, compliance concerns, and educational opportunities.</li><li>Interpret, evaluate, and apply ICD-10-CM/PCS coding principles and guidelines to ensure documentation adequately supports the coded diagnoses and procedures.</li><li>Verify that assigned DRGs accurately reflect patient severity and resource utilization according to MS, APR, Tricare, and related payment methodologies.</li><li>Research regulatory requirements and provide clear, well-supported recommendations in audit reports.</li><li>Collaborate with Clinical Documentation Integrity (CDI) specialists to pinpoint and communicate documentation and/or physician query opportunities.</li><li>Write concise, constructive feedback and educational notes for coders, referencing the latest official coding guidelines and AHA Coding Clinics.</li><li>Maintain established productivity and quality standards as measured by audit leadership.</li></ul>