About ClinNEXUS
ClinNEXUS Inc. is a healthcare organization focused on innovative, patient-centered care solutions. The company aims to bridge healthcare gaps through technology, data, and compassionate care to improve outcomes for patients and communities.
Position Summary
The Medical Billing Specialist will ensure timely invoice submission, coordinate with providers and insurance companies, and work closely with internal teams. The role requires strong attention to detail, medical terminology knowledge, insurance procedure familiarity, and understanding of healthcare laws and regulations related to medical billing.
Key Responsibilities
- Accurately translate medical procedures, diagnoses, and equipment into standardized billing codes, including CPT, ICD-10, and HCPCS.
- Prepare and submit insurance claims promptly and accurately.
- Review claims for accuracy before submission.
- Monitor submitted claims and follow up on unpaid or denied claims.
- Investigate claim issues and resubmit claims when necessary.
- Stay current on healthcare laws and regulations to maintain compliance.
- Adhere to HIPAA regulations and protect patient confidentiality.
- Maintain accurate and organized records of billing and claims activity.
- Ensure documentation supports all submitted claims.
Work Environment
This is a fully remote role within California. Preference is given to candidates in the Los Angeles/Orange County area. Quarterly travel is required for team meetings, training sessions, and company events.
Compensation
The annual pay range for this position is $50,000 to $65,000, depending on qualifications, experience, skills, and geographic location.
Required Qualifications
- Degree or certification in Medical Billing/Coding or a related field
- Demonstrated experience in medical billing or a similar role
- Strong proficiency with electronic medical records (EMR) systems and related software
- Familiarity with medical terminology, insurance procedures, and healthcare billing laws
- Strong accuracy in managing billing codes and claims
- Analytical skills to resolve billing discrepancies and issues efficiently
- Ability to prioritize tasks and manage time effectively in a remote environment
- Excellent verbal and written communication skills
- Commitment to maintaining patient confidentiality and HIPAA compliance
Preferred Qualifications
- Experience with Power BI or similar reporting and analytics tools
- Prior remote work experience
- Familiarity with multiple EMR platforms
- Advanced knowledge of healthcare billing trends or revenue cycle management best practices
Location
California, US
Employment Type
Full-time
Experience Level
Associate
Salary Range
$50,000 - $65,000
Remote work allowed
Yes
Posted
1 week ago