Medical Billing & Claims Specialist jobs in United States
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Remx · 1 month ago

Medical Billing & Claims Specialist

Remx is a respected health system seeking a detail-oriented and motivated Medical Billing & Claims Specialist to join their growing revenue cycle team in Knoxville, TN. This role focuses on insurance claims follow-up and resolution, ensuring accurate and timely reimbursement while supporting overall financial operations.

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Responsibilities

Follow up on unpaid, underpaid, denied, or delayed medical insurance claims
Contact commercial insurance carriers, Medicare, and Medicaid to determine claim status
Review Explanation of Benefits (EOBs) and remittance advice for accuracy
Research and resolve claim denials, rejections, and payment discrepancies
Submit corrected claims, appeals, and supporting documentation
Accurately document all actions and payer communications in billing systems
Ensure claims comply with payer guidelines, coding requirements, and billing regulations
Collaborate with billing, coding, and patient accounts teams to resolve issues
Meet productivity and follow-up benchmarks while maintaining accuracy

Qualification

Medical billing experienceClaims resolutionEOB understandingEMR proficiencyAttention to detailOutbound callingCommunication skillsOrganizational skills

Required

Previous experience in medical billing, insurance claims, or healthcare accounts receivable
Experience with insurance follow-up and claims resolution
Understanding of EOBs, CPT/ICD codes, and medical billing processes
Familiarity with commercial insurance, Medicare, and/or Medicaid
Strong attention to detail and organizational skills
Comfortable making outbound calls to insurance carriers
Proficiency with EMR or medical billing systems
Strong communication skills, both written and verbal

Preferred

Experience within a hospital or health system setting
Denials management or appeals experience
Revenue cycle or accounts receivable background
Ability to work independently after training

Benefits

Weekly pay & benefits available on day one!
Remote work eligibility after 4–6 months
Stable role within a healthcare system
Supportive team environment and structured training
Growth opportunities within revenue cycle operations
Consistent weekday schedule and work-life balance

Company

Remx

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Remx is a platform for designing, selling, and collecting 3D digital wearables.

Funding

Current Stage
Early Stage
Total Funding
$0.1M
2022-06-28Seed· $0.1M

Leadership Team

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Nazim Ahmed
Co-Founder & CEO
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Company data provided by crunchbase