Remote Medical Billing Specialist – Full‑Time, $55‑$68 k yr, Vicksburg, Mississippi – Healthcare Coder & Revenue Cycle Expert (Mid‑Level) – Work From Anywhere

TITLE:Remote Medical Billing Specialist – Full‑Time, $55‑$68 k yr, Vicksburg, Mississippi – Healthcare Coder & Revenue Cycle Expert (Mid‑Level) – Work From Anywhere --- We’re a midsized outpatient network headquartered in Vicksburg, Mississippi that’s been helping families across the Midwest navigate primary‑care, urgent‑care, and specialty clinics for the past twelve years. Over the last year our claim‑denial rate crept from 3.2 % to 5.1 % after a new payer mix was introduced, and that gap sparked a conversation in the leadership circle: “We need people who can see the numbers, fix the workflow, and keep our providers focused on patients, not paperwork.” That’s why we’re opening aRemote Medical Billing Specialist position for someone who lives in Vicksburg, Mississippi or any U.S.state that can work on Eastern Time, but will be syncing daily with our billing hub in Vicksburg, Mississippi. ### What you’ll own * End‑to‑end claim submission – From capturing CPT/HCPCS and ICD‑10 codes entered by our front‑desk staff to transmitting clean claims through our RCM platforms, you’ll be the gatekeeper of every line item that hits a payer’s portal. In the last quarter we processed 29,430 claims (≈ 2,500 per week) with an average clean‑claim‑rate of 91 %; the goal you’ll chase is 95 % within six months.* Denial management – You’ll dig into any claim that comes back with a rejection code, apply the appropriate edit, and re‑submit. Our current denial turnaround is 4.2 days; we aim for 2.5 days. You’ll use Denial Tracker and Excel PivotTables to keep a living dashboard. * Patient billing inquiries – While most of our outreach is automated, a handful of patients call in about balance‑due statements. You’ll field those calls, explain insurance responsibility, and arrange payment plans that keep our net‑revenue‑recovery at 97 % of the contracted amount.* Compliance & audit prep – Every 90 days we undergo an internal HIPAA audit. You will ensure that all claim files, logs, and audit trails are stored in Box with proper encryption and that any flagged discrepancy is corrected before the auditor arrives. ### A day in the life (remote, but never isolated)Your morning starts with a quick Slack check‑in at 8:30 a.m. ET, where the billing team shares today’s high‑priority claims and any system alerts from AdvancedMD. You then fire up Kareo to pull the day’s claim queue, run the Eligibility Verification module, and tag any “pending insurance” items.Mid‑morning you hop onto a 15‑minute Zoom stand‑up with our Revenue Cycle Manager in Vicksburg, Mississippi to align on the latest payer rule changes—last month, UnitedHealthcare introduced a new modifier requirement that cut our clean‑claim‑rate by 0.7 %. After the call you spend an hour in Power BI building a denial‑trend report that drills down by provider, service line, and claim type. This report feeds directly into the monthly leadership deck, where you’ll see your numbers highlighted alongside the CFO’s commentary.Lunchtime is your chance to step away from the screen; many of us take a walk around the block in Vicksburg, Mississippi or—if you’re truly remote—just a stretch at your home office. The afternoon is a mix of “quick wins” and deeper work: you’ll pull a batch of out‑of‑network claims, apply the correct National Correct Coding Initiative (NCCI) edits, and send a batch of appeals using eCross. You’ll also mentor a new junior coder, reviewing their chart abstractions and offering feedback on documentation completeness.By 5 p.m. you log the final billing summary in Athenahealth, flag any high‑value claim that needs senior review, and close the day with a short note in the shared OneNote log, ensuring the next shift can pick up where you left off. ###The tools we trust (you’ll be comfortable with each) 1. AdvancedMD – Primary RCM system for claim creation and posting. 2. Kareo – Supplemental billing interface for specialty clinics. 3. Athenahealth – Integrated EMR/RMS for provider documentation. 4. Epic – Occasionally for large hospital‑affiliate contracts.5. Meditech – Legacy system for a handful of legacy sites. 6. Box (HIPAA‑enabled) – Secure document storage and audit log. 7. Power BI – Reporting and analytics dashboards. 8. Excel (advanced formulas & VBA) – Data crunching and denial tracking. 9. Slack & Zoom – Day‑to‑day collaboration and virtual meetings. 10. eCross – Appeals management portal for payer communication. 11. Denial Tracker – Custom SaaS tool to prioritize and monitor rejections. 12. Office 365 (Word, Outlook, Teams) – Standard office productivity.If you’ve used any of these platforms for at least a year, you’ll feel at home; if you haven’t, we’ll give you a two‑week boot camp and pair you with a senior specialist until you’re comfortable. ### Who we’re looking for * Experience – Minimum three years in a medical‑billing role, preferably in an ambulatory or outpatient environment. Experience as a coding specialist, healthcare coder, or billing specialist is essential. * Technical chops – Proficiency with CPT, HCPCS, ICD‑10, and NCCI edits. Ability to navigate multiple RCM platforms simultaneously without missing a detail.* Analytical mindset – Comfortable building reports in Power BI or Excel, interpreting denial trends, and proposing process improvements that have measurable impact. * Communication – You’ll be the bridge between providers, payers, and patients. Clear, patient‑centric language is a must; a short script you can recall: “I understand this bill looks higher than expected; let’s walk through each line together.” * Compliance awareness – Understanding of HIPAA, OIG, and CMS guidelines. Past experience handling internal audits is a plus.* Remote discipline – Ability to self‑manage, meet daily SLA targets (e.g., 90 % of claims submitted within 24 hours of service), and stay connected with a distributed team. ### Why this role matters nowOur network recently added two urgent‑care centers in Vicksburg, Mississippi and a tele‑health platform serving patients across three states. Those expansions introduced new payer contracts and a 22 % spike in claim volume. The existing billing crew is operating at 85 % capacity, and leadership forecasted a revenue shortfall of $1.8 M if denial rates stay where they are.By bringing a focusedRemote Medical Billing Specialist onto the team, we can tighten our claim cycle, reduce denials, and protect the profit margins that fund community health programs—things like free flu‑shot clinics and school‑based health education that our board takes pride in. ### What success looks like (the numbers) * Clean‑claim rate – Increase from current 91 % to 95 % within the first six months. * Denial turnaround – Reduce average processing time from 4.2 days to under 2.5 days. * Revenue capture – Boost net‑revenue‑recovery from 97 % to 99 % of contractually billed amounts.* Audit readiness – Achieve zero audit findings related to claim integrity for three consecutive quarters. When you hit those targets, you’ll see a direct line from your work to the financial statements your CFO reviews, and more importantly, to the community clinics staying open because of that revenue. ### What we give back * Competitive pay – $55,000‑$68,000 USD per year, commensurate with experience, plus a quarterly performance bonus tied to denial‑rate improvements. * Benefits – Medical, dental, vision, and a 401(k) match up to 4 % after six months of service.* Professional growth – $1,500 annual budget for certifications (e.g., CPC, CPB) and conference attendance (AHIMA, AAPC). * Remote‑first culture – Home‑office stipend of $150 monthly, ergonomic equipment allowance, and a quarterly “team‑in‑city” meetup in Vicksburg, Mississippi where we share pizza, a walk through the local park, and a quick round‑table on what’s working. * Human moments – Last month, one of our senior coders, Maya, told us, “I was able to take my daughter to a doctor’s appointment without missing a beat because the team covered my queue while I logged in from the waiting room.That flexibility saved us both stress.” Stories like hers keep us grounded. ### Typical interview flow 1. Phone screen (15 min) – Quick chat with our Talent Acquisition lead about your background and remote work habits. 2. Technical assessment (45 min) – You’ll receive a de‑identified claim file and be asked to identify coding errors, propose edits, and explain your reasoning in a recorded walkthrough. 3. Panel interview (60 min) – Meet the Billing Manager, a senior coder, and a member of the Finance team (all based in Vicksburg, Mississippi).Expect scenario‑based questions about denial management and compliance. 4. Culture fit conversation (30 min) – A relaxed video call with a member of our HR “People Ops” team to discuss work‑life balance, the remote setup you have, and any questions about the company’s community initiatives. If you clear the panel, we’ll extend an offer within five business days and get you set up with a company‑issued laptop, VPN access, and a detailed onboarding plan. ### Final thoughts We’re not looking for a robot who can punch numbers alone; we want a collaborator who sees the story behind every claim, who can talk to a clinic’s office manager with patience, and who will celebrate each denial turned into payment like a small victory.Our billing team in Vicksburg, Mississippi has grown from five to twelve people in the last 18 months, and each addition has helped us keep the doors of our community clinics open. If you’re ready to own a critical piece of the revenue cycle, love diving into data but also enjoy a quick chat on Slack, and want a role that directly impacts patients in Vicksburg, Mississippi and beyond, hit the “Apply” button. Tell us in your cover letter one concrete project where you lowered a denial rate or improved claim accuracy—numbers, not just narratives.We’ll read every submission, and if you sound like the kind of steady, detail‑oriented professional we need, you’ll hear from us soon. Welcome to a place where your billing expertise fuels real health outcomes. Let’s get those claims clean, the numbers steady, and the community thriving—together. Apply tot his job