Remote Medical Billing jobs Jobs in Boone town, North Carolina | Remote Work From Home

Job Title:

Remote Medical Billing Jobs

Location:

Remote — based in Boone town, North Carolina --- ### About the Role We are seeking an experienced

Remote Medical Billing Specialist

to join our growing revenue‑cycle team. In this role you will *translate clinical documentation into accurate claim submissions*, ensuring our providers in Boone town and across North Carolina receive timely reimbursement. You will work directly with our

Director of Revenue Cycle Management

, collaborating with coding specialists, front‑office staff, and the finance department to close the billing loop from charge entry to payment posting. Our mission is simple: empower healthcare providers in Boone town to focus on patient care while we handle the complex, ever‑changing landscape of insurance rules, compliance, and payer contracts. --- ### Key Responsibilities -

Claim Submission & Follow‑Up:

Generate, review, and submit >12,000 electronic claims per month using

Epic

and

Kareo

, maintaining a 98% clean claim rate. -

Denial Management:

Investigate and resolve an average of 150 denied claims weekly, applying root‑cause analysis and appealing to insurers within required windows. -

Coding Accuracy:

Perform ICD‑10‑CM, CPT, and HCPCS coding verification for each encounter, acting as a

healthcare coder

mentor to junior staff. -

Revenue Reporting:

Build weekly dashboards in

Microsoft Power BI

and

Excel

that track key performance indicators (KPIs) such as days in A/R, collection rate, and net revenue. -

Payer Contracts:

Keep an up‑to‑date repository of fee schedules and contractual adjustments for the top 30 payers in North Carolina, leveraging

Salesforce

for contract management. -

Compliance Audits:

Conduct monthly internal audits using

AdvancedMD

audit tools to ensure HIPAA and OIG compliance, preparing reports for senior leadership. -

Collaboration:

Partner with the

coding specialist

team via

Slack

and

Zoom

to clarify documentation gaps and educate providers on best‑practice documentation. -

Process Improvement:

Lead at least two process‑optimization projects per year, employing

Jira

to track workflow enhancements and measure ROI. -

Training & Onboarding:

Facilitate virtual onboarding for new billing specialists, delivering a 4‑hour curriculum covering claim lifecycle, software navigation, and compliance basics. -

Patient Billing Queries:

Respond to patient billing inquiries within a 48‑hour SLA, using

Cerner

billing portal to provide transparent explanations of charges. --- ### Required Qualifications - Associate’s degree in Health Information Management, Business Administration, or related field *or* equivalent work experience. -

3–5 years

of full‑cycle medical billing experience in a physician‑practice or hospital setting. - Proven expertise as a

billing specialist

and

coding specialist

, with at least

2 years

of hands‑on ICD‑10‑CM/CPT coding. - Proficiency with

Epic

,

Kareo

,

AdvancedMD

,

Cerner

,

Microsoft Office 365

(especially Excel),

Slack

,

Zoom

, and

Jira

. - Demonstrated ability to achieve a

≥95% clean claim rate

and reduce denial percentages by

15%+

year‑over‑year. - Strong analytical skills; comfortable interpreting payer guidelines, fee schedules, and reimbursement methodologies. - Excellent written and verbal communication; must be able to convey complex billing concepts to clinicians and patients alike. - Reliable high‑speed internet (minimum 25 Mbps download, 5 Mbps upload) and a dedicated home office space meeting

ERG (Ergonomic) standards

. --- ### Preferred Qualifications - Certified Professional Biller (

CPB

) or Certified Coding Specialist (

CCS

) credential. - Experience with

Health Level Seven (HL7)

interface engines and

EDI

transaction sets. - Prior work in a

telehealth

or fully remote billing environment serving multiple states, especially within North Carolina. - Demonstrated leadership in training or supervising a team of 5+ billing professionals. - Familiarity with

Revenue Cycle Management (RCM) analytics platforms

such as

Athenahealth

or

Rite Aid

. - Ability to speak Spanish or another language spoken by our patient population in Boone town. --- ### Compensation & Benefits -

Salary:

$55,000 – $70,000 annually, commensurate with experience and certifications. -

Performance Bonus:

Up to 10% of base salary based on clean‑claim rate, denial reduction, and collection targets. -

Health & Wellness:

Medical, dental, vision, and $1,200 annual health‑care stipend for employees in North Carolina. -

Retirement:

401(k) with 4% company match. -

Paid Time Off:

15 days PTO + 10 paid holidays (including State holidays observed in North Carolina). -

Remote Work Stipend:

$150/month for home‑office equipment, high‑speed internet, and coworking‑space access in Boone town. -

Professional Development:

$2,000 annual learning Apply To This Job