Healthcare Billing Assistant (U.S. Medical Billing Experience Required)

Job Title: Healthcare Billing Assistant (U.S. Medical Billing Experience Required)
Location: Remote (U.S. hours overlap preferred)
Job Type: Full-time / Part-time (flexible depending on candidate)
Industry: U.S. Healthcare / Medical Services

Role Overview
We are seeking a detail-oriented Healthcare Billing Assistant with hands-on experience in U.S. medical billing processes. This role supports revenue cycle operations by ensuring accurate claim submission, payment posting, and follow-ups with insurance payers. The ideal candidate understands payer rules, CPT/ICD coding basics, and can proactively resolve billing issues to reduce AR aging.

Key Responsibilities
Claims & Submissions

Prepare and submit electronic and paper claims to insurance payers
Verify claim accuracy (demographics, coding, modifiers, authorizations)
Correct rejected or denied claims and resubmit promptly
Monitor clearinghouse reports and rejection queues
Accounts Receivable & Follow-ups

Work AR aging reports and perform payer follow-ups (calls/portals)
Investigate underpayments and denial reasons
Track and appeal denied claims when appropriate
Maintain accurate notes on claim activity
Payment Posting

Post insurance payments, adjustments, and patient payments
Reconcile EOBs and ERA files
Identify trends in denials or payer errors
Insurance & Eligibility

Verify patient insurance eligibility and benefits
Confirm prior authorization requirements
Communicate coverage details to front desk or admin staff
Coordination & Reporting

Communicate billing issues to internal staff
Maintain compliance with HIPAA and privacy regulations
Assist with monthly reporting and revenue tracking

Required Experience & Skills
Minimum 2+ years in U.S. healthcare billing
Strong understanding of CPT, ICD-10, and modifiers (working knowledge)
Experience working with commercial insurance, Medicare, and Medicaid
Familiarity with clearinghouses (Office Ally, Availity, Change Healthcare, etc.)
Experience using EMR/EHR or practice management systems
Ability to work AR reports and denial management independently
Excellent written and spoken English communication
Highly organized and detail-focused

Preferred Qualifications
Experience with behavioral health, therapy, ABA, or outpatient clinics
Prior remote billing experience
Knowledge of authorizations and medical necessity documentation
Understanding of HIPAA compliance standards

What Success Looks Like
Reduced claim denials
Faster payment turnaround
Clean claim submission rate improvement
Organized and accurate billing documentation

Please include:

Resume
Short summary of your U.S. medical billing experience
Systems and payers you have worked with
We are looking for someone reliable, proactive, and committed to long-term collaboration.

Healthcare Billing Assistant (U.S. Medical Billing Experience Required)