[Hiring] Billing Specialist REMOTE USA
Position: Billing Specialist (Billing Claims Specialist)
Date Posted: April 29, 2026
Industry: Healthcare / Medical Devices / Revenue Cycle Management
Employment Type: Full Time (Exempt)
Experience: Minimum 2 Years in Medical Billing, Medicare/Medicaid or Commercial Insurance Claims Processing
Qualification: High School Diploma or Equivalent (College Coursework or Medical Billing Certification Preferred)
Salary: $55,000 – $60,000 per year
Location: Dallas, Texas, United States
Company: Koya Medical, Inc.
Description:
Koya Medical, Inc. is a rapidly growing healthcare innovation company founded in 2018, dedicated to transforming venous and lymphatic care through advanced, patient-centered technologies. The company focuses on improving mobility, enabling self-care, and delivering breakthrough solutions for patients dealing with venous disease and lymphedema.
This is an excellent opportunity to join a fast-paced and mission-driven organization that values integrity, collaboration, hard work, humility, and a strong team culture. The company offers competitive base pay, performance bonuses, and a comprehensive benefits package.
The Billing Specialist will be responsible for managing end-to-end medical billing operations, ensuring accurate claims submission, payment posting, and resolution of insurance rejections and denials. This role requires strong experience in Medicare, Medicaid, and commercial insurance billing processes, ideally within the DME or healthcare equipment sector.
Key Responsibilities:
• Submit accurate and timely medical claims electronically or via paper to Medicare, Medicaid, and commercial insurance payers
• Work closely with insurance providers to ensure claims are processed correctly and payments are received on time
• Review, analyze, and post Explanation of Benefits (EOBs), payments, and claim denials across billing platforms
• Investigate root causes of claim rejections and denials and recommend preventive solutions
• Handle appeals for denied claims and ensure proper follow-up until resolution
• Route uncollectible accounts to appropriate write-off or review queues in a timely manner
• Assist patients, healthcare providers, and internal teams with billing inquiries and support requests
• Identify opportunities for process improvement and help enhance billing workflow efficiency
• Maintain compliance with HIPAA, company policies, and all applicable federal and state regulations
• Meet or exceed productivity and quality performance standards (KPIs)
Requirements:
• Minimum 2 years of experience in medical billing or insurance claims processing
• Strong understanding of Medicare, Medicaid, and commercial insurance billing rules (DME experience preferred)
• High School Diploma or equivalent required; additional education or certification in medical billing preferred
• Experience using billing systems such as Niko Health and Salesforce is highly preferred
• Strong attention to detail with excellent analytical and problem-solving skills
• Ability to manage multiple tasks in a fast-paced environment
• Strong communication skills (written and verbal) and ability to interact professionally with patients and insurance representatives
• Knowledge of Microsoft Office tools, especially Excel, preferred
• Strong organizational skills with the ability to prioritize daily responsibilities effectively
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