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Medical Billing Specialist Full-Time Remote — U.S. Only
Columbus Family Practice

Location: Remote, Remote
Work Setting: Physician Office
Job Function: Reimbursement/ Billing Specialist
Job Type: Full-Time
Salary Range: based on experience/education

Introduction

The Medical Billing Specialist is responsible for ensuring accurate and timely reimbursement for services rendered by the clinic. This position performs a variety of revenue cycle functions including accounts receivable follow-up, medical coding, payment posting, denial management, refund processing, and insurance verification. The ideal candidate demonstrates strong analytical/communication skills, attention to detail, and a thorough understanding of medical billing regulations, payer requirements, and coding guidelines.

Job Description

Essential Duties and Responsibilities
Accounts Receivable Management

• Monitor and manage accounts receivable aging reports, prioritizing high-dollar balances and timely filing deadlines.
• Research, investigate, and resolve unpaid, underpaid, and denied insurance claims.
• Prepare and submit appeals for denied claims with appropriate supporting documentation.
• Follow up with insurance carriers regarding outstanding claims and reimbursement issues.
• Monitor payer turnaround times and identify reimbursement trends.
• Maintain detailed documentation on aging accounts and provide monthly status reports to the Billing Team Lead and Administration.
• Perform skilled nursing facility (nursing home) billing based on accounts receivable reports.

Unapplied Payments

• Research and resolve unapplied or unidentified payments.
• Accurately post or reallocate payments to the appropriate patient accounts.
• Resolve credit balances related to unapplied payments.
• Collaborate with payment posting staff to identify and prevent recurring posting issues.
• Routinely monitor unapplied payment balances to ensure timely resolution.

Refund Management

• Review patient and insurance credit balances for refund eligibility.
• Process patient and insurance refunds accurately after obtaining required approvals.
• Maintain complete refund logs with supporting documentation.
• Ensure all refunds comply with payer contracts, clinic policies, and applicable federal and state regulations.

Medical Coding

• Assign ICD-10-CM, CPT, and HCPCS codes to physician services, laboratory services, and nurse visits using current coding guidelines.
• Review provider documentation for completeness and accuracy prior to coding.
• Submit provider queries when documentation is incomplete or clarification is needed.
• Code encounters accurately and efficiently to support timely claim submission while maintaining compliance with payer and regulatory requirements.

Payment Posting

• Assist with posting electronic remittance advice (ERA) payments and paper check payments.
• Verify payment accuracy according to payer contracts.
• Investigate and resolve flagged or exception payments.
• Route denied claims to the appropriate work queues or provider folders for follow-up.

Insurance Verification and Claims Management

• Verify patient insurance eligibility and benefits.
• Monitor claim status and resolve claim rejections or edits.
• Assist with claim submission issues to promote timely reimbursement.

Additional Responsibilities

• Perform data entry and maintain accurate billing records.
• Maintain confidentiality of patient information in accordance with HIPAA regulations.
• Participate in departmental meetings, education, and quality improvement initiatives.
• Stay current on coding updates, payer policies, and billing regulations.
• Perform other duties as assigned by management.
• Assist with identifying missing charges.

Required Qualifications

• High school diploma or equivalent required; Associate’s degree in Healthcare Administration, Medical Billing and Coding, or related field preferred.
• Medical billing experience required; medical coding experience preferred.
• RHIT, CCS-P or CPC certification preferred.
• Knowledge of Medicare, Medicaid, commercial insurance, denial management, and revenue cycle processes preferred.
• Strong attention to detail and ability to work independently/efficiently in a remote environment.

Preferred Qualifications

• High school diploma or equivalent required; Associate’s degree in Healthcare Administration, Medical Billing and Coding, or related field preferred.
• Medical billing experience required; medical coding experience preferred.
• RHIT, CCS-P or CPC certification preferred.
• Knowledge of Medicare, Medicaid, commercial insurance, denial management, and revenue cycle processes preferred.
• Strong attention to detail and ability to work independently/efficiently in a remote environment.

Education Qualifications

• High school diploma or equivalent required; Associate’s degree in Healthcare Administration, Medical Billing and Coding, or related field preferred.
• Medical billing experience required; medical coding experience preferred.
• RHIT, CCS-P or CPC certification preferred.
• Knowledge of Medicare, Medicaid, commercial insurance, denial management, and revenue cycle processes preferred.
• Strong attention to detail and ability to work independently/efficiently in a remote environment.

Compensation/Benefits

Insurance offered – Health, Vision, Dental, HSA
401K
Paid Time Off

Instructions for Resume Submission

submit via email to jfiorelli@colfamprac.com

Posted: July 28, 2026 at 5:19 PM
Post ID: 104688

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