Job Summary

TranscribePro USA is seeking a detail-oriented and experienced Remote Medical Billing Specialist to manage complex payer claims with accuracy and efficiency. In this role, you will be responsible for ensuring timely and precise submission of medical claims, resolving billing discrepancies, and maintaining compliance with industry standards. The ideal candidate possesses deep knowledge of medical billing processes, payer-specific requirements, and demonstrates excellent communication and analytical skills to navigate complex claims scenarios.

This is a fully remote position offering the opportunity to work with a dynamic, patient-focused healthcare team while contributing to the financial health of the organization.

Key Responsibilities

• Prepare and submit complex medical claims to a variety of insurance payers, ensuring accuracy and compliance with payer-specific guidelines.
• Review, verify, and reconcile patient billing information and insurance data.
• Identify and resolve claim denials, rejections, and discrepancies efficiently.
• Communicate effectively with insurance providers, healthcare providers, and patients regarding billing inquiries.
• Maintain accurate documentation of all billing transactions and follow-up activities.
• Monitor and track claim status to ensure timely reimbursement.
• Collaborate with cross-functional teams to streamline billing processes and implement best practices.
• Stay current on changes in coding, billing regulations, and payer policies.

Required Skills and Qualifications

• Strong understanding of medical billing procedures, ICD-10, CPT, and HCPCS coding standards.
• Familiarity with complex payer claim requirements and prior authorization processes.
• Proficiency with electronic medical record (EMR) systems and billing software.
• Exceptional attention to detail and accuracy in data entry and claim submissions.
• Excellent written and verbal communication skills for interacting with payers, patients, and internal teams.
• Strong problem-solving skills to resolve claim discrepancies and denials.
• Ability to work independently in a remote environment while meeting deadlines.

Experience

• Minimum 3–5 years of experience in medical billing, preferably in handling complex payer claims.
• Prior experience with multi-specialty medical practices or telehealth billing is highly desirable.
• Demonstrated track record of resolving denials and achieving high claim reimbursement rates.

Working Hours

• Full-time position, standard working hours Monday through Friday.
• Flexible schedules may be considered to accommodate multiple time zones.

Knowledge, Skills, and Abilities

• Deep knowledge of insurance claim processes and payer-specific rules.
• Strong organizational skills and ability to prioritize multiple tasks.
• Analytical mindset to review claims and identify discrepancies or errors.
• High level of integrity and ability to handle confidential patient and financial information.
• Proactive and self-motivated, with excellent time management skills.

Benefits

• Competitive salary with performance-based incentives.
• Comprehensive health, dental, and vision insurance options.
• Paid time off (PTO) and holiday benefits.
• Professional development and continuing education opportunities.
• Remote work flexibility and supportive team culture.
• 401(k) retirement plan with company match.

Why Join TranscribePro USA?

At TranscribePro USA, we pride ourselves on creating a supportive, growth-oriented environment for healthcare professionals. You will have the opportunity to work remotely while contributing meaningfully to improving healthcare billing accuracy and efficiency. Join our team and be part of an organization that values innovation, collaboration, and professional development.

How to Apply

Interested candidates are invited to submit their resume and a cover letter outlining relevant experience and skills via our careers portal or by emailing us. Please include “Remote Medical Billing Specialist – Complex Payer Claims” in the subject line.