(Contract) Medical Billing & Charge Review Specialist

Remote, US
Operations /
/ Remote
We hold ourselves to exceptionally high standards in order to provide unparalleled service to healthcare professionals, their staff and patients. We strive to end each workday knowing that we’ve made someone’s life better.

Our team is comprised of courageous and caring healthcare warriors. We’re here to solve the impossible problems, such as reducing medical errors, saving patient lives, and empowering physicians to stay financially independent. We care deeply about making a big impact and we are relentless.

Inspired to grow the company and our careers, we remain committed to daily discipline, self improvement, and a ceaseless search for solutions.

We equally value our work and our life apart from work. We’re compelled to work with urgency, decisiveness, and efficiency in everything we do. This affords us freedom and time for things that matter most. 

Leaders at pMD are developed through our mentorship program. Investing in the success of each individual strengthens our team and builds loyalty. We believe in leading by example. Everything one does ripples outward. Therefore, we need each individual at pMD to embody our leadership principles to thrive as an enduring great company.

(Contract) Medical Billing & Charge Review Specialist

The (Contract) Medical Billing & Charge Review Specialist role at pMD helps our team and our customers reach our business goals through expeditious claim submission and thoroughly scrubbing claims for coding and billing accuracy. This is an important role that primarily focuses on the front-end revenue cycle. This includes identifying and preventing all claim errors that would result in a denial to support timely payment and exceed industry standard benchmarks.

Responsibilities include:

    • enter patient registration data within a software solution
    • perform insurance verification and identify correct coverage and coordination of benefits
    • identify cost sharing, patient out of pocket expenses post insurance adjudication, and initiate patient payment requests
    • perform claim scrubbing review to support coding and billing accuracy and clean claim submission
    • transmit and process all billable claims and ensure claims are billed expeditiously
    • monitor claims for reconciliation and interface rejections
    • proactively communicate coding errors identified to manager for future prevention

Requirements include:

    • post-secondary certificate in Medical Billing and Coding
    • 2 years of medical billing experience with an emphasis on claim scrubbing and coding
    • must be proficient with CPT/ICD-10, NCCI edits, and abreast of the latest coding guidelines issued by the AMA and CMS
    • proficient in health insurance eligibility
    • availability to start immediately and work 25 hours per week between the operating hours of 8 am EST and 6 pm EST
    • EMR experience
    • must currently have or be willing to register a business per independent contractor guidelines
    • reside in the U.S.
Hourly rate: $27.54 / hour

We are only accepting applications through our online job portal, Lever. We aren't able to consider and respond to other types of applications, including those sent via email to pMD support, at this time. Please direct application status questions to recruiting@pmd.com.

Candidates must be authorized to work in the U.S. as a precondition of employment.