Overview:

As a Medical Claims & Collections Specialist (eClinicalWorks | AR), you will be responsible for following up on outstanding medical insurance claims, appealing denials, resolving billing issues, and ensuring payments are collected in accordance with payer policies and contractual agreements. This is a remote position that requires strong communication, analytical skills, and knowledge of medical billing and coding.

Schedule: Monday to Friday, 8:30 AM - 5:00 PM PST | With a 30-minute unpaid break

Responsibilities:

• Monitor and work aged insurance claims to ensure timely reimbursement
• Contact insurance companies to follow up on unpaid or denied claims
• Submit corrected claims and appeals as needed
• Identify and resolve billing discrepancies or issues with denied claims
• Maintain accurate notes and updates in the billing system
• Meet monthly collection goals and productivity standards
• Collaborate with internal billing and coding teams to resolve claim issues
• Stay up to date with payer requirements and industry regulations

Requirements:

• Minimum of 2 years of experience in medical billing or claims collections
• Strong knowledge of CPT, ICD-10, and HCPCS codes
• Familiarity with EOBs, remittance advice, and insurance guidelines (CalOptima, Medicare, Medicaid, Commercial payers)
• Experience with billing software (eClinicalWorks)
• Excellent communication and problem-solving skills
• High level of accuracy, attention to detail, and time management
• High-speed internet and a quiet, private workspace

Independent Contractor Perks:

• Permanent work from home
• Immediate hiring
• Health Insurance Coverage for eligible locations

Note:

Please click the "Apply" button to complete your application, including the assessment questions, technical check, and voice recording. Your hourly pay rate will be established based on your performance in the application process; submissions with all requirements fulfilled will receive priority review.

One application, multiple possibilities: When you apply, our team reviews your background against all current openings, not just this one! If a different role fits your skills, we'll get in touch! We also encourage you to keep exploring our job board and apply directly to any position that excites you.