Medical Biller
Benefits:
- Employee discounts
- Medical Billing Specialist Complex Cases & Credentialing Remote | Full-Time or Contract
About the Role
We are seeking a highly experienced Medical Billing Specialist with a strong background in complex billing environments. This is not an entry-level position we need a true specialist who can hit the ground running with minimal oversight. While this role is remote, it requires a hands-on, engaged work style with consistent availability and accountability.
Key Responsibilities
- Manage end-to-end medical billing and claims submission using eClinicalWorks (eCW) and TriZetto (Facets/Gateway)
- * Handle credentialing for providers across multiple tax IDs and EIN structures
- * Work complex billing cases involving dual or multi-entity practice configurations
- * Submit, track, and follow up on claims across multiple payers and insurance networks
- * Identify and resolve claim denials, rejections, and underpayments
- * Maintain accurate records and ensure compliance with payer-specific billing requirements
- * Coordinate with insurance carriers, clearinghouses, and internal staff as needed
- Required Qualifications
- Minimum 5 years of hands-on medical billing experience complex cases required
- * Proficiency in eClinicalWorks billing module (not just scheduling or front-desk use)
- * Direct experience with TriZetto as a clearinghouse or payer platform
- * Demonstrated experience managing billing across multiple tax IDs and/or EINs
- * Strong knowledge of provider credentialing processes
- * Ability to work independently, manage multiple priorities, and meet deadlines
- * Excellent attention to detail and strong communication skills
- Preferred Qualifications
- CPC, CPB, or similar billing/coding certification
- * Experience with specialty practices (vein, aesthetics, surgical, or similar)
- * Familiarity with multi-provider or multi-entity practice structures
- Please do not apply if you do not have direct, verifiable experience in complex medical billing with eClinicalWorks and TriZetto. Experience is non-negotiable for this role.
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