Medical Biller
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.