Medical Billing Specialist Remote Roles
Share
Job Location:
Monthly Salary:
Posted on:
2 hours ago
Vacancies:
1 Vacancy
Job Summary
About the Role
We are building an AI- and agentic-driven platform focused specifically on automating and augmenting workflows in the US medical billing ecosystem. This is an early-stage product and we are looking to work directly with an experienced medical billing professional who understands the end-to-end medical billing lifecycle (AZ) and can help translate real-world billing workflows decisions and edge cases into clear system logic and documentation.
This is not an execution-only role. You will act as a domain expert and consultant helping our founding team deeply understand how medical billing actually works in practiceacross roles responsibilities decision points and exceptions.
Our founding team is based in North America (Canada) and the platform is being built for the US healthcare market.
Key Responsibilities
- Ability to map the complete medical billing process end-to-end including:
- Patient intake and eligibility
- Coding and charge entry
- Claims submission
- Payer interactions
- Rejections denials corrections and resubmissions
- Posting payments and AR follow-ups
- Compliance and audit considerations
- Patient intake and eligibility
- Break down roles and responsibilities across different types of medical billing specialists and stakeholders involved in the process.
- Clearly articulate the decisions judgments and trade-offs medical billing specialists make in real-world scenarios (e.g. coding choices payer-specific nuances denial handling strategies).
- Help define:
- Common workflows
- Edge cases
- Failure points
- Exceptions that AI systems must understand and handle
- Common workflows
- Produce clear written documentation diagrams and explanations that product engineering and AI teams can work from.
Requirements
- 35 years of hands-on experience as a medical billing specialist or in a closely related medical billing role.
- Strong understanding of:
- CPT ICD-10 HCPCS codes
- Payer rules and variations
- US healthcare billing standards and workflows
- CPT ICD-10 HCPCS codes
- Proven ability to explain complex processes clearly and logically.
- Strong written and verbal communication skills.
- Experience working with multiple stakeholders (billing teams providers payers ops or technology teams).
- Comfortable using digital tools and collaborating with remote teams.
- Able to think structurally and systemicallynot just operationally.
Nice to Have
- Prior experience working with:
- Healthcare software products
- Automation AI or workflow tools
- Healthcare software products
- Experience advising startups or early-stage products.
- Comfort reviewing workflows from a systems and logic perspective not just from execution.
Why This Role
- Work directly with the founding team on a high-impact early-stage product.
- Influence how AI and agentic systems are built in the medical billing space.
- Flexible part-time commitment with meaningful ownership and input.
- Opportunity to shape a platform designed for real-world billing professionalsnot theoretical workflows.
Key Skills
- Medical Collection
- Accounts Receivable
- Athenahealth
- ICD-10
- Medical Coding
- 10 Key Calculator
- Detailing
- ICD-9
- Medical Billing
- Microsoft Excel
- CPT Coding
- Medicare
