Pro JTS - Medical Billing Specialist

Job Title: Medical Billing Specialist

Location: Remote (U.S. based)

Schedule: Full-Time, 8 hours/day between 7:30am - 5:30pm Eastern Standard Time (EST)

About the Role:
Join JTS Health Partners as an Medical Billing Specialist and play a vital role in enhancing cash performance for hospitals and healthcare organizations. Your main focus will be to identify and resolve underpayments, appeal claim denials, and provide exceptional support to our clients through your attention to detail and problem-solving abilities.

Key Responsibilities:
- Analyze accounts to identify underpayments and resolve billing discrepancies.
- Review Explanation of Benefits (EOBs), remittances, and payer documentation for claim resolutions.
- Submit appeals and reconsiderations for denied or underpaid claims.
- Communicate effectively with insurance payers, patients, and clients via phone and written correspondence.
- Utilize portals such as Availity, Optum, MMIS, and Medicare contractors.
- Work with Accounts Receivable (AR) reports, process corrected claims, and resolve credit balances.
- Apply Lean process improvement principles to daily tasks.
- Ensure compliance with standard work procedures and organizational policies.
- Collaborate with a supportive team dedicated to performance excellence.

Minimum Qualifications:
- 1+ year of experience in hospital back-end revenue cycle functions (denials, billing, cash applications, etc.) or 2+ years in an accounting environment.
- Proficiency in Excel and MS Office tools.
- Knowledge of claim submission, insurance follow-up, and remittance analysis.
- Strong analytical, communication, and time management skills.
- Self-starter with the ability to work independently.
- High School diploma or GED required.

Preferred Qualifications:
- Associate or Bachelor's Degree in Healthcare Administration, Business, or a related field.
- HFMA Certified Patient Account Representative (CPAR or ACPAR).
- Certified Revenue Cycle Representative (CRCR).

Perks & Benefits:
- 100% Remote: Work from the comfort of your home with a secure setup.
- Small team culture with big company benefits.
- Paid Time Off and Holidays.
- 401(k) with employer match.
- Annual profit sharing (awarded 14 out of the last 15 years).
- A supportive environment that promotes career growth and skill development.

JTS is an Equal Opportunity Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race; color; religion; national origin; sex; pregnancy; sexual orientation; gender identity and/or expression; age; disability; genetic information, citizenship status; military service obligations or any other category protected by applicable federal, state, or local law. JTS makes hiring decisions based solely on qualifications, merit, business needs. You will be required to comply with all JTS Health Partners’ policies including our Information Security Policy and all its responsibilities.  

JTS is a drug-free workplace and does conduct pre-employment drug testing and we use E-Verify to confirm the identity and employment eligibility of all new hires.