Remote Healthcare Billing jobs Jobs in Keene, New Hampshire | Remote Work From Home

Job Title & LocationRemote Healthcare Billing Specialist (Remote)Location:Remote – flexible hours centered around Keene, New Hampshire We’re adding this role because we’ve just closed a $25 million Series B round and our newest tele‑health platform is rolling out to clinics in the Midwest. The extra billing capacity will let us move from 120 claims a day to 250 claims a day within the next three months, and we need experienced hands to keep the revenue stream clean and compliant. --- ###The Reality ofThis Role When you, you’ll step into a space that’s already humming with activity.Over the past six months our billing department grew from five to fifteen specialists, and we’ve layered on three new software platforms to handle the surge. The real work is making those platforms talk to each other while keeping every claim under the 48‑hour posting window that our providers expect. You’ll sit at the intersection of the clinical staff in Keene and the accounting crew in Keene, New Hampshire, translating physician notes into clean CPT and ICD‑10 codes, chasing denials, and teaching our newest hires the nuances of Medicare‑part B versus private payer rules.The team is flat – you’ll report directly to the Billing Manager, Maya, who started in the trenches as a coder three years ago. We run in a hybrid of async Slack threads and weekly video “stand‑up‑check‑ins,” so you’ll need to be comfortable communicating without the office door to knock on. The biggest challenge right now is the tight launch deadline for our partner clinic network in Keene. We have a hard cut‑off on the 1st of December for the first batch of 2,000 new patient records, and every delayed claim chips away at cash flow.It’s a high‑stakes period, but the payoff is seeing the revenue curve steepen from a 2 % month‑over‑month growth rate to 6 % once the new contracts are live. --- ### What You’ll Actually Do 1. Own the end‑to‑end claim cycle for at least 150 claims per day, from charge capture in Epic to final posting in our RCM hub. 2. Parse physician documentation using CPT, ICD‑10, and HCPCS codes, hitting a 97 % accuracy bolthires measured weekly. 3. Submit electronic claims through Athenahealth, Kareo, and AdvancedMD, troubleshooting any 821 or 999 error messages within 30 minutes.4. Audit denied claims and perform root‑cause analysis, reducing the denial rate from the current 12 % to under 8 % in six months. 5. Partner with the payer liaison team in Keene to negotiate re‑submission windows, shortening the average denial turnaround from 14 days to 7 days. 6. Generate daily KPI dashboards in bolthires Data Studio, pulling data from ClaimConnect, Navicure, and our in‑house Excel tracker, then share them in the #billing‑metrics Slack channel by 9 a.m. CST. 7. Educate providers on proper documentation standards via short 15‑minute Zoom workshops held every Thursday at 3 p.m.Keene time. 8. Run monthly compliance checks to ensure HIPAA and MACRA regulations are met, logging any findings in our Confluence space. 9. Mentor the two newest billing analysts, reviewing their claim logs and offering feedback on code selection. 10. Assist the finance team in reconciling weekly revenue reports, flagging any discrepancies larger than $2,500 before they hit the CFO’s inbox. 11. Continuously improve workflow by proposing automation scripts in Python or PowerShell that shave at least five minutes off each claim entry.12. Document process changes in our SOP repository, ensuring version control with Git‑Lab, so anyone in Keene or New Hampshire can follow the latest steps. --- ### Skills That Truly Matter | Must‑have | Nice‑to‑have | |----------|--------------| | 3+ years of direct medical billing experience, preferably with Medicare and Medicaid | Experience in a startup or fast‑growth environment | | Proficiency in CPT, ICD‑10, HCPCS coding with a current CCA or CPC credential | Familiarity with robotic process automation (UIPath, Automation Anywhere) | | Daily use of Epic or Cerner EMR systems | Working knowledge of SQL for data pulls | | Hands‑on with Athenahealth, Kareo, or AdvancedMD billing suites | Ability to write simple VBA macros for Excel | | Comfortable with claim clearinghouses like ClaimConnect, Navicure, and Zirmed | Prior exposure to tele‑health reimbursement models | | Strong audit mindset; ability to bolthires errors in 2‑second glance | Experience training clinicians on documentation | | Excellent written communication – you’ll be drafting denial appeals that get a 70 % success rate | Knowledge of MACRA/QLR reporting | | Ability to schedule and lead virtual 15‑minute workshops for clinicians in Keene | Familiarity with cloud‑based RPA tools | | Proven track record of meeting a 48‑hour claim posting SLA | Experience with Python or PowerShell scripting | | Comfortable working across time zones; we expect occasional overlap with our 9 a.m.–5 p.m.CST core window | Exposure to revenue cycle analytics (Power BI, Looker) | --- ### Standout Extras - Published a peer‑reviewed article on “Reducing Denial Rates in Rural Tele‑Health Practices” in * Journal of Healthcare Finance* (2022). - Built a Power BI dashboard that visualized claim status by payer, cutting the reporting cycle from 48 hours to 6 hours. - Mentored a group of five junior coders, two of whom earned their CPC certification within a year. - Designed a Python script that auto‑populates CPT codes based on keyword extraction from physician notes, decreasing manual entry time by 12 %.- Ran a volunteer project with a local community clinic in Keene to train staff on proper billing for Medicaid, resulting in a 15 % increase in reimbursable claims. --- ###Compensation & Benefits - Base salary: $58,000 – $72,000 USD, commensurate with experience and certifications. - Performance bonus: Up to 8 % of base salary, tied to denial‑rate reduction and claim‑posting SLA adherence. - Health coverage: 85 % of premium covered for medical, dental, and vision for you and up to two dependents.- Retirement: 4 % company match on 401(k) contributions, with a vesting schedule of 2 years. - Home‑office stipend: $1,200 once per year to upgrade your workstation. - Learning budget: $2,000 annual allowance for certifications, conferences, or online courses (e.g., AAPC, HIMSS). - Paid time off: 20 days of vacation per year, plus 12 paid holidays; we encourage you to use your PTO to recharge, especially during the quieter months of July and August in Keene. --- ### Growth & Culture In the first six months you’ll be fully embedded in our billing engine, mastering the tri‑platform workflow and hitting the 97 % accuracy KPI.By month 12, we expect you to be a go‑to resource for the provider education program, leading quarterly workshops for the growing list of clinics we’re adding across Keene and the broader New Hampshire region. Looking ahead to years 2‑3, the path can branch in two directions: 1. Billing Operations Lead – overseeing a team of eight specialists, shaping SOPs, and partnering with product to embed new claim‑validation features directly into our tele‑health app. 2. Revenue Cycle Analyst – diving deeper into data, building predictive models that flag high‑risk claims before they’re submitted, and presenting findings to senior leadership.Our culture is built on transparency. All decisions are recorded in our public Confluence space, and we run a weekly “What Went Wrong?” call where anyone can share a missed claim or a process hiccup without fear of blame. We operate async for the most part, but we do require a core overlap of 2 hours each day (10 a.m.–12 p.m. CST) so that the team in Keene can sync with the finance folks in New Hampshire. We value work‑life harmony. If you’re a night‑owl who prefers to finish claims after dinner, you’re welcome – just make sure the core overlap is covered.We’ve seen teammates in Keene take a week off for a family reunion in the mountains without a single missed deadline because the workflow is documented and the hand‑off is seamless. --- ### Interview Process 1. Application Review (4 days) –Our hiring lead, Maya, will scan your résumé and the optional cover letter you attach. You’ll get a brief email acknowledging receipt. 2. Phone Screening (30 minutes) – A quick call with our senior recruiter to confirm fit, discuss your experience with Epic/Kareo, and answer any questions about remote work logistics in Keene.3. Technical Assessment (2 hours, take‑home) – You’ll receive a de‑identified claim set and be asked to code, bolthires errors, and write a short denial‑appeal. We’ll grade it on accuracy and reasoning, not speed. 4. Live Panel (45 minutes) – A video call with Maya, a fellow billing specialist, and our finance analyst. Expect a couple of scenario questions, a walk‑through of your assessment, and a chance for you to ask about the team’s cadence in Keene. 5. Final Chat (15 minutes) – One‑on‑one with the VP of Revenue Operations to discuss career trajectory, culture, and any final details.We aim to keep the whole process under three weeks, and we’ll give you feedback after each step. If you feel you don’t hit every bullet point, still hit “apply.” We’ve hired great people who were missing one or two of the listed tools but made up for it with curiosity and reliability. --- ### Closing We are an equal‑opportunity employer. We celebrate the diversity of thought, background, and experience that each person brings, whether you’re working from a downtown apartment in Keene or a rural home office in New Hampshire.If you’ve spent years turning messy claim data into clean revenue, if you enjoy teaching clinicians how to capture the right codes, and if you’re ready to help a fast‑growing tele‑health company scale its billing engine, we’d love to hear your story. Send us your résumé, a brief note about why you’re excited about this role, and any questions you have about the day‑to‑day rhythm in Keene. --- *“When I first started, I was terrified of the denial‑rate spreadsheet. Now I’m the one people come to when they need a quick fix.That feeling of becoming the go‑to person for the team is why I stay every day.”* – Maya, Billing Manager --- We can’t wait to meet the next member of our billing family. Apply tot his job