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Virtual Medical Billing AND Claims Specialist
<h3><strong>Job Summary</strong></h3> <p>The Elite Job is seeking a highly organized and detail-oriented <strong>Virtual Medical Billing and Claims Specialist</strong> to join our growing healthcare team. This remote position is ideal for a self-motivated professional with experience in medical billing, insurance claims, and healthcare reimbursement processes. The successful candidate will ensure accurate and timely submission of claims, manage patient billing inquiries, and support revenue cycle operations, all while maintaining compliance with regulatory standards.</p> <hr> <h3><strong>Key Responsibilities</strong></h3> <ul> <li>Review and process medical claims accurately and efficiently for multiple insurance carriers.</li> <li>Submit claims electronically and follow up on pending or denied claims.</li> <li>Verify patient insurance coverage, eligibility, and benefits prior to service delivery.</li> <li>Identify and correct claim errors to prevent delays in payment.</li> <li>Communicate with insurance companies, healthcare providers, and patients to resolve billing issues.</li> <li>Maintain patient records and billing information in compliance with HIPAA and other applicable regulations.</li> <li>Generate reports on billing performance, claim denials, and reimbursement trends.</li> <li>Collaborate with healthcare teams to improve billing processes and ensure accurate documentation.</li> </ul> <hr> <h3><strong>Required Skills and Qualifications</strong></h3> <ul> <li>Proven experience in medical billing and claims processing.</li> <li>Familiarity with electronic medical record (EMR) systems and billing software.</li> <li>Knowledge of CPT, ICD-10, and HCPCS coding.</li> <li>Strong understanding of insurance claim procedures, denials, and appeals.</li> <li>Excellent attention to detail and problem-solving abilities.</li> <li>Strong written and verbal communication skills.</li> <li>Ability to work independently and manage multiple priorities in a remote environment.</li> </ul> <hr> <h3><strong>Experience</strong></h3> <ul> <li>Minimum of 2 years of experience in medical billing, claims processing, or related healthcare administrative role.</li> <li>Prior experience in a virtual or remote healthcare environment is preferred.</li> </ul> <hr> <h3><strong>Working Hours</strong></h3> <ul> <li>Full-time position with flexible working hours.</li> <li>Typical hours: Monday to Friday, 9:00 AM – 5:00 PM (adjustable to accommodate patient billing needs and time zones).</li> </ul> <hr> <h3><strong>Knowledge, Skills, and Abilities</strong></h3> <ul> <li>Comprehensive knowledge of medical billing cycles and insurance processes.</li> <li>Ability to analyze and resolve billing discrepancies quickly.</li> <li>Strong organizational skills and ability to maintain accurate records.</li> <li>Proficiency in Microsoft Office Suite and billing software platforms.</li> <li>High level of professionalism and confidentiality.</li> </ul> <hr> <h3><strong>Benefits</strong></h3> <ul> <li>Competitive salary with performance-based incentives.</li> <li>Remote work flexibility with a supportive virtual team environment.</li> <li>Professional development opportunities and access to healthcare industry training.</li> <li>Paid time off and holidays.</li> <li>Health, dental, and vision benefits (if applicable for full-time employees).</li> </ul> <hr> <h3><strong>Why Join The Elite Job?</strong></h3> <p>At The Elite Job, we are committed to creating a collaborative and innovative work environment. Joining our team means becoming part of a forward-thinking company that values professional growth, recognizes hard work, and supports employees in achieving a healthy work-life balance. You will play a key role in improving healthcare operations while enjoying the flexibility of remote work.</p> <hr> <h3><strong>How to Apply</strong></h3> <p>Interested candidates are invited to submit their resume and a cover letter highlighting relevant experience to <strong>us</strong>. Please include “Virtual Medical Billing and Claims Specialist” in the subject line. Shortlisted candidates will be contacted for a virtual interview.</p>
