[Hiring] Medical Billing Specialist REMOTE USA
Position: Medical Billing Specialist
Date Posted: August 8, 2025
Industry: Healthcare / Medical Billing
Employment Type: Full Time
Experience: 0–1 years required; 1–3 years preferred
Qualification: High School Diploma or GED required; Associate Degree in Business, Healthcare Administration, Medical Billing, or a related field preferred
Location: United States – REMOTE
Company: Community Health Systems
Description:
Now Hiring – Remote Medical Billing Specialist 🏥
Community Health Systems is currently looking for a detail-oriented Remote Medical Billing Specialist to join our team. In this role, you will handle the submission, auditing, and tracking of both primary and secondary insurance claims, helping ensure compliance, accuracy, and prompt reimbursement.
This opportunity is ideal for candidates with a strong understanding of insurance billing, claim resolution, and electronic submission systems, with the flexibility of working from home.
Key Responsibilities:
• Submit and process insurance claims accurately and promptly, following payer guidelines and all regulatory standards
• Identify, review, and resolve claim denials, rejections, and errors
• Demonstrate working knowledge of billing forms such as UB-04, CMS-1500, and state-specific documentation
• Conduct audits on claims before submission to identify duplicates, overlaps, and missing information
• Investigate and handle rebill requests and update claims based on feedback from coding teams or facility contacts
• Remain updated on federal, state, and insurance-specific billing requirements
• Use electronic claims systems (e.g., SSI, Pulse/DAR) to review and submit claims
• Monitor trends in edits and charges, coordinating with departments like patient access, coding, and ancillary services
• Perform balancing tasks and escalate unresolved billing issues to the Billing Services Manager
• Communicate clearly and professionally with payers, facilities, and internal teams
• Maintain accurate documentation and follow up appropriately on outstanding claims
• Carry out additional responsibilities as assigned while adhering to company policies and compliance standards
Qualifications:
• High School Diploma or GED (mandatory)
• Associate Degree in Business, Healthcare, or related field (preferred)
• 0–1 year experience in medical billing or claims processing (required)
• 1–3 years billing experience in healthcare settings like clinics, surgery centers, or hospitals (preferred)
• Experience with hospital or physician billing and insurance rules (preferred)
Skills & Abilities:
• Basic knowledge of insurance claims and reimbursement protocols
• Familiarity with billing software and claims systems such as SSI and Pulse/DAR
• Understanding of Medicaid, Medicare, CMS, and commercial insurance processes
• Strong problem-solving and error-resolution abilities
• Detail-oriented with strong time management and organizational skills
• Proficient in Microsoft Office (Excel, Word, Outlook)
• Experience with Electronic Health Record (EHR) systems
• Clear, professional verbal and written communication skills
If you meet the requirements and are ready to contribute to a dynamic healthcare team while working remotely, we encourage you to apply.
Disclaimer: The job details above are structured for clarity and based on publicly available content from recruiters/Company pages. All rights remain with the original source; names may be withheld for confidentiality. We are not involved in the hiring process.
