Medical Billing Specialist

About this role

This is a remote position.
Rockstar is seeking an experienced Medical Billing Specialist to support U.S.-based healthcare practices on a full-time remote basis. This is a billing-first role built for professionals who know the full revenue cycle, not just one piece of it, and who take ownership of the financial health of the practices they support.
In this role, you will manage the complete billing cycle: claim submission, payment posting, denial management, accounts receivable follow-up, and reporting. You will work directly with practice leadership and administrative teams to ensure claims are clean, payments are collected, and outstanding balances are resolved in a timely manner. Depending on the client, you may also provide light support to front desk and administrative functions as a secondary responsibility.
KEY RESPONSIBILITIES
Claims Submission & Billing Operations

Process and submit insurance claims accurately and in a timely manner via EMR and clearinghouse systems

Manage the full billing cycle including claim creation, submission, tracking, and follow-up

Handle primary and secondary insurance claims, including out-of-network and manual tracking requirements

Ensure all claims are submitted with correct coding, documentation, and payer-specific requirements

Resolve billing discrepancies by identifying root causes, correcting errors, and rebilling claims as needed

Ensure compliance with billing and coding regulations and maintain clean documentation for audit readiness

Accounts Receivable & Payment Management

Monitor and reconcile the accounts receivable ledger and maintain accurate, up-to-date A/R records

Follow up on outstanding balances, unpaid claims, and overdue accounts to support healthy cash flow

Post insurance and patient payments to accounts accurately and ensure proper allocation

Post zero-balance EOBs and process patient refunds as required

Generate and distribute monthly statements to patients and clients

Support collections workflows and escalate unresolved balances as appropriate

Generate billing and A/R reports for practice leadership on a regular basis

Denials Management & Appeals

Review denied claims promptly, research denial reasons, and determine the appropriate course of action

Prepare and submit appeals with supporting documentation to secure proper reimbursement

Track denial trends and communicate findings to leadership to support process improvements

Follow up on appealed claims and rework as needed until resolution

Identify and help prevent future denials through accurate claim preparation and payer knowledge

Patient Billing Communication

Make outbound calls to patients or guarantors to follow up on outstanding balances, declined payments, or billing questions

Communicate billing details, payment options, and insurance responsibilities clearly and professionally

Respond to patient inquiries related to statements, claims, and account balances via phone and email

Document all billing-related communications and update patient records accordingly

Administrative & Reporting Support

Maintain accurate electronic patient records and billing documentation within the EMR

Track referrals, plans of care, and authorization-related billing requirements as needed

Generate key performance and billing reports for management review

Support insurance verification and benefits checks as needed to ensure billing accuracy

Assist with administrative workflows, front desk backup duties, or special projects as assigned by the client

Maintain strict HIPAA compliance and patient confidentiality at all times

Requirements
Required

2+ years of hands-on medical billing experience: this is not an entry-level role

Proven experience managing the full revenue cycle: claim submission, payment posting, A/R follow-up, and denials

Strong working knowledge of insurance billing processes, payer requirements, and reimbursement rules

Experience with denials management, including researching, correcting, appealing, and tracking claims to resolution

Solid understanding of EOB interpretation, payment reconciliation, and accounts receivable principles

Ability to handle both primary and secondary insurance claims, including manual follow-up processes

Excellent written and verbal English communication skills: clear phone communication with patients and payers is essential

Strong attention to detail, accuracy, and follow-through across all billing activities

Ability to work independently, self-direct daily tasks, and meet targets without close supervision

Reliable home office setup with a stable internet connection suitable for HIPAA-compliant remote work

Preferred

Experience in an outpatient healthcare setting: physical therapy, occupational therapy, speech therapy, or similar specialties

Familiarity with common healthcare EMR and billing platforms (e.g., Prompt, WebPT, Raintree, or similar)

Experience with Medicare, Medicaid, workers' compensation, and out-of-network billing

Background working with multi-provider or high-volume clinic environments

Comfort with Google Workspace, Microsoft Office (Word/Excel), and cloud-based communication tools

WHAT WE LOOK FOR

Ownership: you treat the practice's A/R like your own and don't let claims sit unresolved

Expertise: you can read an EOB, identify why a claim was denied, and know exactly what to do next

Initiative: when something is off, you flag it, fix it, and help prevent it from happening again

Reliability: your client team counts on your daily output; you show up, you deliver, and you communicate clearly

Professionalism: you handle patient billing calls with patience, empathy, and accuracy

Benefits
Competitive salary commensurate with experience
Opportunities for professional development and long-term career growth
Work within a dynamic, collaborative, and supportive team environment
Stable, full-time remote employment with U.S.-based healthcare clients
Make a meaningful impact by helping practices…