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.

This is a remote position.