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 budget for certifications, conferences, or online coursework (e.g., AAPC). - Employee Assistance Program (EAP): Confidential counseling, legal, and financial services. --- ### Work Setup - Time Zones: Primarily Eastern Time (ET) to align with our Boone town office; flexible within a ±2‑hour window. - Core Hours: 10 am – 4 pm ET, with the expectation of 85% async communication (Slack, email) and two live stand‑up meetings per week via Zoom. - Meeting Cadence: Daily 15‑minute huddle, weekly team review, bi‑weekly one‑on‑one with the Director. - Equipment: Company‑issued laptop (Windows 11) pre‑loaded with Epic, Kareo, Cerner, Jira, Microsoft Teams, and Zoom; optional second monitor. - Internet: Minimum 25 Mbps download; home office must meet OSHA ergonomic standards (chair, desk, lighting). - Collaboration Platforms: Slack (channels for claim status, coding Q&A), Zoom (video conferences), Jira (project tracking), Power BI (reporting). --- ### Growth - Career Pathways: Progress from Billing Specialist → Senior Billing Analyst → Revenue Cycle Manager → Director of Revenue Cycle Management. - Mentoring: Pairing with a senior coding specialist for quarterly skill‑building sessions. - Learning Budget: $2,000/year for certifications (e.g., CPB, CCS) or advanced analytics training (Power BI, Tableau). - Performance Cycles: Four‑quarter review process with clear KPIs (clean claim rate, denial resolution time, collection efficiency). - Leadership Opportunities: Lead cross‑functional initiatives (e.g., payer contract renegotiation, automation of claim edits) and present results to executive leadership. --- ### 1. Submit your resume, a one‑page cover letter highlighting your most relevant billing achievements, and any certification PDFs through our LinkedIn Easy Apply or Indeed portal. 2. Optional: Include a brief (2‑minute) video introducing yourself and explaining why you’re a perfect fit for a remote billing role serving Boone town and the broader North Carolina market. 3. Timeline: Applications are reviewed on a rolling basis; we aim to contact qualified candidates within 5 business days of submission. 4. Interview Stages: - *Stage 1:* 30‑minute HR screen (culture fit, logistics). - *Stage 2:* 60‑minute technical interview with the Revenue Cycle Manager (scenario‑based billing questions, tool proficiency). - *Stage 3:* 45‑minute meeting with the Director of Revenue Cycle Management (strategic vision, growth goals). - *Stage 4:* Final case study – you will be given a sample set of claim data to audit and present findings using Power BI (submitted within 48 hours). We are an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees, regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. --- *Ready to make a measurable impact on healthcare revenue while enjoying the flexibility of remote work?* and join a team that values precision, collaboration, and continuous improvement—right from the comfort of your home in Boone town, North Carolina. Apply tot his job Apply tot his job