Medical Billing Specialist

• Review, audit, and adjust charges from interfaced files to ensure accurate and timely charge capture.

• Manually enter and audit specialized charges, including pathology, molecular testing, psychology, genetic counseling, and other services, while communicating outstanding items or questions to clinical staff.

• Run and review billing reports to confirm that all required information has been received and accurately recorded in the practice management system.

• Create daily charge files from laboratory application software to support complete and accurate charge capture.

• Reconcile scheduled appointments against posted charges and identify missing or outstanding billing information.

• Collaborate with clinical staff and revenue cycle management teams to resolve charge-posting issues and maintain timely billing workflows.

• Review medical records when necessary to validate diagnoses, procedures, modifiers, and coding accuracy.

• Apply knowledge of billing guidelines, medical policies, payer requirements, and reimbursement regulations to assigned billing activities.

• Work daily on assigned tasks related to claim edits, rejections, denials, collections, and other revenue cycle issues, driving each item through to resolution.

• Identify, manage, and resolve tickets across various statuses within the practice management system.

• Maintain working knowledge of HCPCS, ICD, and CPT oncology coding and applicable insurance carrier requirements.

• Follow established policies and procedures to support consistent and standardized billing processes.

• Participate in training and knowledge-sharing activities as assigned to strengthen individual and team capabilities.

• Demonstrate ownership, professionalism, and a collaborative mindset while managing responsibilities independently.

• Perform additional duties as assigned in support of efficient healthcare operations and patient care.

Requirements:

• High school diploma or equivalent required.

• Previous professional experience in charge entry, medical billing, or medical coding required; experience in an oncology healthcare setting is preferred.

• Strong knowledge of medical billing, HCPCS, CPT, and ICD coding.

• Expertise in insurance policies and reimbursement requirements, including Medicare, Medicaid, and commercial insurance plans.

• Understanding of medical billing guidelines, payer requirements, medical policies, and insurance reimbursement processes.

• Strong analytical skills and the ability to review complex billing information accurately.

• Exceptional attention to detail, organization, and multitasking abilities.

• Ability to manage assigned deadlines while maintaining accuracy and productivity.

• Strong written and verbal communication skills, including active listening and the ability to communicate findings and recommendations effectively.

• Ability to work collaboratively with clinical staff, revenue cycle teams, management, and other colleagues.

• Demonstrated initiative, mature judgment, adaptability, and a strong customer-service orientation.

• Ability to work autonomously while contributing effectively to a team-oriented environment.

• Proficiency with Windows-based applications, including Microsoft Word, Outlook, Excel, and similar tools.

• Reliable attendance and consistent productivity are essential to meeting role objectives.

Benefits:

• Fully remote position based in the United States.

• Full-time employment within a healthcare organization focused on improving patient care and supporting independent medical practices.

• Opportunity to contribute directly to accurate healthcare billing and revenue cycle operations.

• Collaborative environment involving clinical teams, billing specialists, and revenue cycle professionals.

• Opportunities to expand knowledge of oncology billing, coding, insurance requirements, and healthcare reimbursement processes.

• Exposure to a range of specialized medical services and complex billing workflows.

• Opportunity to strengthen operational processes while supporting physicians and the patients they serve.

• Values-driven workplace emphasizing collaboration, initiative, professionalism, and continuous improvement.