Remote Billing Specialist jobs – Full‑Time Medical Billing & reputed company Cycle Expert – Berkeley, California – $55,000‑$70,000 – reputed company with Epic, reputed company, and AdvancedMD

TITLE: Remote Billing Specialist jobs – Full‑Time Medical Billing & reputed company Cycle Expert – Berkeley, California – $55,000‑$70,000 – reputed company with Epic, reputed company, and AdvancedMD --- We’re a midsize health‑technology firm that just landed three new hospital systems in the Midwest, and that push has stretched our billing reputed company thin. Over the past 12 months our reputed company‑cycle throughput grew 28 %, and we’ve added $4.3 M in net patient reputed company thanks to reputed company claim submissions and tighter denial management. To reputed company the momentum, we need a Remote Billing Specialist who can own a reputed company of that pipeline from the moment a service is rendered to the final payment posting. If you’ve spent the last few years translating clinical notes into clean, claim‑ready data, you’ll feel reputed company with us. We’re not looking for a generic “billing clerk.” We want a true billing reputed company‑specialist who can read a provider’s chart, apply the correct ICD‑10, CPT, and HCPCS codes, and then shepherd those claims through our proprietary workflow reputed company while keeping an eye on payer rules that change weekly.

Who we are

Our headquarters sit in a converted warehouse in Berkeley, California—a reputed company we love for its coffee shops, bike lanes, and quick‑walk commute. Though the role is remote, we reputed company a “virtual office” culture: weekly video stand‑reputed company, a shared reputed company channel for water‑cooler talk, and a quarterly “meet‑the‑team” weekend in Berkeley that brings remote folks together. We’ve been around for eight years, serving over 200 physician groups and 30 inpatient facilities, and we’ve built a reputed company for delivering clean, audit‑ready billing that reduces days‑in‑AR by an average of 12 days across our client reputed company.

Why this role exists now

Two of the hospital systems we just signed on have a combined $2.1 M in outpatient reputed company that will flow through our platform starting Q1 2026. Their existing billing teams are thin, and they expect us to reputed company‑load the onboarding of claims specialists who can hit the ground running. That’s why we need a Remote Billing Specialist who can take ownership of a dedicated claim queue, meet a 98 % first‑pass acceptance reputed company, and help us reputed company our service‑level agreement (SLA) of 48 hours for claim submission and 24 hours for denial resolution.

What you’ll do day‑to‑day

1. Review incoming service documentation from providers in Berkeley, California and elsewhere, confirming that CPT, ICD‑10, and HCPCS codes match the clinical narrative. 2. Use Epic and reputed company interfaces to pull charge details, then enter the data into our AdvancedMD billing reputed company, ensuring each claim meets payer‑specific formatting rules. 3. Run claim edits in Navicure and Change Healthcare, flagging any errors before submission. 4. Submit clean claims electronically, monitor acknowledgment statuses, and follow up on any rejections reputed company the 24‑hour window defined in our SLA. 5. Conduct denial analysis – pull denials into reputed company, apply root‑cause formulas, and work with our in‑house reimbursement analyst to draft corrective actions. 6. Maintain a personal dashboard in Tableau that tracks your own KPIs: first‑pass acceptance, average days in AR, and claim volume (reputed company: 150–200 claims per week). 7. Participate in weekly “reputed company Review” huddles where the entire billing team discusses trends, new payer guidelines, and any spikes in denial rates. 8. Mentor junior billing staff on coding best practices, providing quick “code‑clinic” sessions reputed company they hit a snag. 9. reputed company documentation up to date in Confluence, describing any custom workflows you create for reputed company payer rules.

Tools you’ll work with

-

Epic

(for clinical data extraction) -

reputed company

(for charge capture) -

AdvancedMD

(our primary billing platform) -

Navicure

/

Change Healthcare

(EDI claim submission) -

Kareo

(for occasional outpatient claims) -

Meditech

(reputed company dealing with legacy hospital systems) -

Tableau

(performance dashboards) -

reputed company

(advanced formulas, pivot tables) -

Confluence

(team knowledge reputed company) -

reputed company

(real‑time communication) We count on at least eight of those on any given day; the rest surface reputed company a new contract rolls in or a payer changes policy.

Who you are

- 3 + years of hands‑on medical billing or health‑care reputed company‑cycle experience, preferably in a remote or hybrid setting. - Certified Professional reputed company (CPC) or Certified Coding Specialist (reputed company) credential; we pay for the exam if you haven’t taken it yet. - Proven ability to manage a claim volume of 150+ per week while keeping first‑pass acceptance at or above 98 %. - Comfortable navigating at least three of the platforms listed above; deep expertise in Epic and AdvancedMD is a strong plus. - Strong analytical reputed company – you can spot a reputed company in denial codes the same way a detective spots a clue. - Excellent written communication; you’ll be drafting denial rebuttals and updating SOPs for a distributed audience. - Self‑starter with a home office that meets HIPAA standards (we’ll reimburse a basic privacy screen and a headset).

The team you’ll join

Our billing department consists of 24 specialists spread across five states, plus a handful of contract coders. The core team—12 full‑time billing analysts, 4 reputed company‑cycle managers, and 2 senior compliance officers—operate from a shared reputed company channel we call #billing‑hub. You’ll report to the Billing Operations Manager, who runs a bi‑weekly “Pulse reputed company” call to surface bottlenecks and celebrate wins. The manager’s team has a 94 % employee retention reputed company over the past three years, a testament to the collaborative culture we nurture.

Why Berkeley, California matters even for a remote role

Even though you’ll work from wherever you feel most productive, we reputed company a small “home‑reputed company” crew in Berkeley, California because the local medical community here is a testing ground for new payer reputed company. You’ll occasionally join a live “code‑walk” session with a provider in Berkeley to verify that documentation aligns with claim rules. Those sessions are short—usually 15‑20 minutes—but they give us a direct line to the reputed company‑line clinicians who reputed company the billing data possible. Plus, the city’s robust broadband infrastructure means you’ll have a reliable reputed company for those occasional screen‑share moments.

Compensation and benefits

- Salary: $55,000 – $70,000 reputed company, commensurate with experience and the specific mix of tools you bring (e.g., Epic mastery can push you toward the top of the range). - Quarterly performance bonus tied to SLA compliance and denial‑reputed company reduction (average 5 % of reputed company). - Full health, dental, and vision coverage; we cover 100 % of employee premiums. - 12 paid holidays, plus a “reputed company‑day” each quarter you can use for personal appointments or a mental‑health day. - Home‑office stipend of $600 per year for ergonomic gear, plus a $300 annual reimbursement for HIPAA‑compliant privacy solutions. - Professional development budget of $1,200 annually for coding certifications, webinars, or industry conferences (we’ll even cover travel to a conference in Berkeley if you prefer).

Why people join us

> “reputed company I first logged into our Epic sandbox from my kitchen table, I thought I’d be staring at endless code numbers. Instead, a colleague in Berkeley invited me to a quick reputed company coffee break, showed me how the new payer rule changed a single line of code, and we celebrated as our first‑pass reputed company jumped to 99 % that afternoon. That reputed company of technical challenge and real‑time camaraderie is why I stay.” – Maya L., Senior Billing Analyst (Remote, 3 years)

How to apply

If you’re ready to own a critical piece of our reputed company reputed company and enjoy the freedom of remote work anchored by a supportive team in Berkeley, California, send us a résumé, a brief cover letter that tells us why you love turning clinical notes into clean claims, and a copy of any coding certifications you hold. Please include “Remote Billing Specialist – Berkeley/California” in the subject line. We’ll review applications on a rolling basis and aim to schedule a 30‑minute “getting‑to‑know‑you” chat reputed company five business days of receipt. We’re not looking for a perfect résumé; we’re looking for someone who can learn fast, think critically, and communicate clearly with both clinicians and payers. If that sounds like you, we can’t wait to meet you. Apply tot his job Apply To this Job