Job Description

Job Title: Medical Billing Specialist

Location (city, state): Remote (Candidates can be from anywhere in the DMV area)

Industry: Healthcare Billing

Pay: $19-$21 per hour, based on experience

About Our Client:

Our client is seeking a dedicated medical billing specialist for a new position. This role focuses on handling EDI rejections, claims review, and high-level claim scrubbing prior to submission.

Job Description:

This full-time remote position will primarily involve managing EDI rejections and reviewing claims that require manual intervention before submission. High-level scrubbing of claims to ensure accuracy before sending them to payors is a key responsibility.

Key Responsibilities:

• Manage EDI rejections (primary function)
• Review and work claims requiring manual intervention before submission
• Scrub claims at a high level prior to submission to payors
• Maintain effective communication and resolve billing issues

Qualifications:

• Minimum of 1-2 years of recent billing/claim submission experience required
• Proof of high-speed internet is required
• Experience with medical and commercial payors such as BCBS, UHC, Aetna is required
• Experience with clearinghouses (e.g., Experian ClaimSource, Change, Trizetto) is a must
• Strong communication skills
• Must be able to quickly adapt and pick up new systems and processes

Additional Details:

• Hours: Office hours are 6:00am – 6:00pm with flexible shifts (e.g., 6:00am-2:00pm or 10:00am-6:00pm)
• Training: 2-3 weeks, 8:00am – 4:30pm M-F
• Contract Duration: 120 days minimum, with potential for long-term consideration
• Reporting to: Larra and team leads
• Ideal Start Date: ASAP (Expect 3-week turnaround for equipment setup)
• Interview Process: Virtual via Microsoft Teams

Perks:

• Remote work with the potential for long-term extension or permanent employment
• Flexibility in shift selection after training

Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.

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