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.
Apply To This Job
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.
Apply To This Job