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. --- ### How to Apply 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?* Apply today 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 To this Job