Medical Billing Specialist - Remote

Medical Billing Specialist (Remote)

Schedule: Monday-Friday, 8:00 AM-5:00 PM

Join Our Team in a Hands-On Medical Billing Role

Are you a medical billing professional who enjoys the day-to-day work of keeping the revenue cycle moving? We're seeking a Medical Billing Specialist with 1-3 years of experience who can quickly become a valuable member of our growing team.

This is a fully remote, hands-on role focused on medical billing operations, payment posting, accounts receivable follow-up, collections, and resolution of billing issues. The Medical Billing Specialist will support both our affiliated physician practice and a variety of Managed Services Organization (MSO) clients. This is not a management, supervisory, or analytics-focused position. We are looking for someone who enjoys working directly in the billing process and takes pride in accuracy, organization, and problem-solving.

What You'll Do

As a Medical Billing Specialist, you will play a key role in supporting the financial health of our physician practice and MSO clients by:

• Accurately posting incoming payments, including checks, ACH transactions, credit card payments, and electronic remittances
• Generating and distributing patient statements, invoices, and account communications
• Reconciling payments against account balances and researching discrepancies
• Monitoring Accounts Receivable aging reports and following up on outstanding balances
• Communicating professionally with insurance carriers, patients, and client representatives regarding billing questions and payment issues
• Researching and resolving denials, underpayments, disputed charges, and billing discrepancies
• Processing account adjustments, credits, refunds, and write-offs according to established policies
• Reviewing explanation of benefits (EOBs) and remittance advice to ensure accurate reimbursement
• Maintaining detailed documentation of account activity, payment arrangements, and collection efforts
• Collaborating with providers, front office staff, clinical teams, administrative personnel, and client stakeholders to resolve account concerns
• Assisting with month-end billing and revenue cycle activities across multiple client accounts
• Maintaining accurate patient and account information within billing systems
• Supporting audit requests by providing billing documentation and account records
• Managing billing workflows for multiple healthcare clients while meeting quality and productivity expectations
• Performing other related duties as assigned

What We're Looking For

Required Qualifications

• High school diploma or equivalent
• 1-3 years of experience in medical billing, accounts receivable, collections, or revenue cycle operations
• Experience with payment posting, insurance follow-up, claims resolution, and collections activities
• Working knowledge of medical terminology and healthcare billing processes
• Familiarity with ICD-9 and ICD-10 diagnosis coding
• Ability to understand and interpret EOBs, remittance advice, denials, and reimbursement information
• Experience using electronic health records (EHR), practice management systems, or medical billing software
• Strong data entry, organizational, and problem-solving skills
• Excellent verbal and written communication skills
• Ability to prioritize multiple tasks while maintaining accuracy and meeting deadlines
• Strong customer service skills and professional phone etiquette
• Ability to work independently in a remote environment while maintaining productivity and accountability

Preferred Qualifications

• Experience in a physician practice, medical group, MSO, or healthcare services environment
• Knowledge of CPT, HCPCS, ICD-10, and insurance reimbursement processes
• Experience working with commercial insurance plans, Medicare, and Medicaid
• Experience supporting multiple providers, practices, or healthcare clients simultaneously
• Microsoft Excel proficiency
• Associate degree or higher

Why Join Us?

• Fully remote work environment
• Consistent Monday through Friday, 8:00 AM to 5:00 PM schedule
• No weekends or holiday rotations
• Opportunity to support a variety of healthcare organizations and providers
• Collaborative and supportive team environment
• Opportunity to make an immediate impact from day one
• Stable, hands-on role with meaningful responsibility
• Professional team dedicated to quality patient care, client service, and operational excellence

Physical Requirements

• Remote office-based position
• Prolonged periods of sitting and working at a computer
• Frequent use of telephones, video conferencing, and computer systems
• Ability to work effectively from a dedicated home office environment
• Ability to occasionally lift and carry up to 25 pounds
• Occasional handling of paper medical and financial records

If you're a detail-oriented Medical Billing Specialist with 1-3 years of experience, an understanding of medical terminology and ICD coding, and a passion for keeping billing operations running smoothly across multiple healthcare clients, we encourage you to apply today.

OSHA Classification System for Evaluation Potential Exposure to Blood Borne Pathogens

This position will involve NO exposure to blood, body fluids, or infectious materials.

EQUAL EMPLOYMENT OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER

Pivotal Health is committed to providing equal employment opportunities to all individuals regardless of race, religion, sex, national origin, disability, veteran status, sexual orientation, gender identity, or any other legally protected status.

Requirements