# Medical Billing Specialist - **Company:** HealthCare Recruiters International - **Location:** Winooski, 05404, US - **Employment type:** FULL_TIME - **Salary:** USD 42000 per year - **Posted:** 2025-07-23T13:00:39+00:00 - **Apply:** https://hcrnetwork.com/job/medical-billing-specialist-winooski-vt/ ## Description [Medical Billing Specialist – Remote](https://pedsone.com/medical-billing-specialist-remote/) Categories: [Job Openings](https://pedsone.com/category/job-openings/) Job Summary Remote Medical Billing Specialists provide best-in-class billing services to our private pediatric practice clients. Review claims for accuracy; oversee processing of claims to payers; resolve insurance company payments that are late, underpaid or denied; work closely with providers, practice managers and staff to implement best practice protocols. Responsibilities - Learn and become proficient with the premiere pediatric system in the industry- Physician’s Computer Company (PCC) Billing. - Efficiently analyze insurance claims throughout the submission process, insuring claims are accurately coded in a timely fashion, and for optimum reimbursement and compliance. - Ensure that all claims reach the payers, and independently resolve any issues (underpayments, denials, etc.) with the claims so they are paid fully and on time. - Post payments, organize processing of patient correspondence and statements. - Answer phone inquiries from patients regarding benefit coverage and making payments. - Consult with the practice manager, front desk staff and providers on a regular basis to implement and maintain quality assurance, optimal billing procedures and client satisfaction. Qualifications - Minimum 4 recent years of medical (physician services) billing - Knowledge of insurance payment posting, demonstrated use of CARC codes and denials - Experienced in navigating payer websites for policies and rules, as well as conducting general online research - Working knowledge of medical terminology, anatomy and physiology - Strong communication and interpersonal skills - Demonstrated comfort with computer technology - Established proficiency in or ability to quickly become proficient in the Google Workspace (G-Suite): Gmail, Google Drive, Docs, Sheets, Meet, etc. - Strong time management and customer service skills - Strong attention to detail and follow through, able to multitask - Demonstrated ability to self-manage Ideal Characteristics - Passion for achieving excellence - Works with a blend of quality, speed, and accuracy - Able to work independently and on a team - Effective and efficient with problem solving - Motivated learner who is able to grow through challenges - Familiarity with the proper use of ICD-10, CPT, HCPCS coding rules - Knowledge of Medicare’s National Correct Coding Initiatives edits - Pediatric or Primary care billing experience - Prior experience working remotely - AAPC, CPC medical coder certification Additional Requirements for Remote Staff - This position is intended for candidates who reside out of state or outside of a reasonable commuting range. Local candidates are invited to apply for an onsite Medical Billing Specialist position. - A private and distraction-free workspace for HIPAA compliance Benefits - Health, vision and dental insurance - CTO accrued from the 1st day of employment, beginning with 2 weeks - 6 paid holidays with 5 additional paid days during Thanksgiving and winter holiday period - 3 paid days for personal emergency - Paid time off for volunteer community service - Paid parental leave - Employee retirement account with 3% matching