Remote opportunity at
PavagoRemote Medical Billing Specialist
Pavago seeks a full-time Remote Medical Billing Specialist to join its Revenue Cycle Management operations. Operating during U.S. business hours, this remote position requires independent handling…
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About This Role
Pavago seeks a full-time Remote Medical Billing Specialist to join its Revenue Cycle Management operations. Operating during U.S. business hours, this remote position requires independent handling of claims, claim denials, collections, account management, and follow-up procedures. The role is well-suited for an organized and detail-oriented professional who can quickly integrate into established billing workflows with minimal oversight. Daily duties include examining explanation of benefits documents, checking diagnosis and procedure code…
Job Description
Pavago seeks a full-time Remote Medical Billing Specialist to join its Revenue Cycle Management operations. Operating during U.S. business hours, this remote position requires independent handling of claims, claim denials, collections, account management, and follow-up procedures. The role is well-suited for an organized and detail-oriented professional who can quickly integrate into established billing workflows with minimal oversight.
Daily duties include examining explanation of benefits documents, checking diagnosis and procedure code links, applying modifiers, and conducting quality checks prior to submission. The professional will research carrier websites, manage queues, maintain accurate documentation, and respond to billing inquiries from clients, patients, and insurance providers while meeting specific productivity and quality standards.
Responsibilities
- Examine EOBs and ERAs to identify reasons for non-payment or denials
- Analyze and resolve claim rejections and denials
- Check diagnosis and procedure code linkage on claims
- Apply correct billing modifiers
- Perform quality checks and scrub claims prior to submission
- Manage claim queues and follow-up processes
- Submit initial and secondary claims following payer guidelines
- Research insurance websites and payer portals for claim updates
- Follow up on rejected and unpaid claims
- Maintain billing records, account notes, and documentation
- Support client accounts and answer billing questions
- Communicate with insurance carriers, provider offices, clients, and patients
- Support collections to resolve outstanding accounts
- Meet established expectations for quality, productivity, and turnaround time
Requirements
- Minimum of 3 years of U.S. medical billing and Revenue Cycle Management experience
- Hands-on experience with claims processing, collections, denial management, and follow-ups
- Ability to interpret ERAs and EOBs
- Experience evaluating diagnosis and procedure code relationships
- Familiarity with claims scrubbing and billing modifiers
- Experience navigating insurance payer portals and billing systems
- Strong written and verbal English communication skills
- Windows 10 or Windows 11 computer with Intel i5 or Ryzen 5 equivalent and minimum 16 GB RAM
- Minimum 256 GB SSD
- Internet connection meeting minimum download and upload speeds of 100 Mbps with latency under 50 ms
- Noise-canceling headset and webcam
- Quiet, professional workspace
Qualifications
- Experience in high-volume medical billing settings
- Prior OBGYN medical billing background
- Experience with account management and insurance verification
- Previous remote work experience
- Familiarity with EHR or Practice Management Systems such as eClinicalWorks, Aprima, Medisoft, Veradigm, Nextech, CureMD, Office Practicum, or NextGen
Core Skills
Frequently Asked Questions
Answers are based only on the employer’s listing; where it doesn’t say, neither do we.
Is this position remote?
Yes, this is a remote full-time role operating during U.S. business hours.
What experience is required for this job?
Candidates must have at least 3 years of hands-on U.S. medical billing and Revenue Cycle Management experience, including claims processing, collections, and denial management.
What technical equipment is needed?
Candidates must have a Windows 10 or 11 computer with an Intel i5 or Ryzen 5 equivalent, 16 GB RAM, a 256 GB SSD, high-speed internet meeting 100 Mbps download and upload speeds, a webcam, and a noise-canceling headset.
What is the salary for this position?
The salary is not specified in the job posting.
What does the interview process look like?
The interview process includes a SparkHire video interview, an initial screening, a client interview, and the offer stage.
Sample Interview Questions
AI-generated questions tailored to this specific role — a preview of the full practice set.