FULL-TIME EXEMPT DIRECT HIREREMOTE IN THE UNITED STATES$24.00 - $27.00 PER HOUR

We’re a fast-growing, fully remote healthcare organization on a mission to improve access to care—and we know our people make that possible. As we expand, we are adding a new role to our financial clearance team. We are seeking a detail-oriented and proactive billing professional with at least two years of experience in medical claims, specialty billing, and accounts receivable; adept at navigating complex payer requirements, resolving denials and discrepancies, and maintaining accurate documentation across EHR and CRM systems; with strong communication skills, a collaborative mindset, and a commitment to compliance and process improvement.

NOTE

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

• Support audit and compliance efforts by assisting with external payer responses, conducting internal reviews, and ensuring required training is completed.
• Maintain payer setup and readiness including fee schedules, EFT/ERA configuration, portal access, and payer profile updates.
• Interpret payer contracts and manuals to extract operational requirements and support clean claim submission.
• Maintain up-to-date reference materials and serve as a resource to internal teams on payer rules and workflows.
• Monitor payer updates and policy changes, assess their impact, and assist with implementation and compliance tracking; attending new payer orientation meetings and ongoing payer training sessions.
• Collaborate cross-functionally on special projects to improve payer compliance, documentation, and training systems.