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.