Remote Billing Specialist jobs – Full‑Time Medical Billing & Revenue Cycle Expert – Berkeley, California – $55,000‑$70,000 – Experienced with Epic, Athenahealth, and AdvancedMD

TITLE: Remote Billing Specialist jobs – Full‑Time Medical Billing & Revenue Cycle Expert – Berkeley, California – $55,000‑$70,000 – Experienced with Epic, Athenahealth, and AdvancedMD --- We’re a midsize health‑technology firm that just landed three new hospital systems in the Midwest, and that push has stretched our billing engine thin. Over the past 12 months our revenue‑cycle throughput grew 28 %, and we’ve added $4.3 M in net patient revenue thanks to better claim submissions and tighter denial management. To keep the momentum, we need a Remote Billing Specialist who can own a slice of that pipeline from the moment a service is rendered to the final payment posting. If you’ve spent the last few years translating clinical notes into clean, claim‑ready data, you’ll feel right at home with us. We’re not looking for a generic “billing clerk.” We want a true billing coder‑specialist who can read a provider’s chart, apply the correct ICD‑10, CPT, and HCPCS codes, and then shepherd those claims through our proprietary workflow engine while keeping an eye on payer rules that change weekly. **Who we are** Our headquarters sit in a converted warehouse in Berkeley, California—a place we love for its coffee shops, bike lanes, and quick‑walk commute. Though the role is remote, we keep a “virtual office” culture: weekly video stand‑ups, a shared Slack channel for water‑cooler talk, and a quarterly “meet‑the‑team” weekend in Berkeley that brings remote folks together. We’ve been around for eight years, serving over 200 physician groups and 30 inpatient facilities, and we’ve built a reputation for delivering clean, audit‑ready billing that reduces days‑in‑AR by an average of 12 days across our client base. **Why this role exists now** Two of the hospital systems we just signed on have a combined $2.1 M in outpatient revenue that will flow through our platform starting Q1 2026. Their existing billing teams are thin, and they expect us to front‑load the onboarding of claims specialists who can hit the ground running. That’s why we need a Remote Billing Specialist who can take ownership of a dedicated claim queue, meet a 98 % first‑pass acceptance rate, and help us keep our service‑level agreement (SLA) of 48 hours for claim submission and 24 hours for denial resolution. **What you’ll do day‑to‑day** 1. Review incoming service documentation from providers in Berkeley, California and elsewhere, confirming that CPT, ICD‑10, and HCPCS codes match the clinical narrative. 2. Use Epic and Athenahealth interfaces to pull charge details, then enter the data into our AdvancedMD billing engine, ensuring each claim meets payer‑specific formatting rules. 3. Run claim edits in Navicure and Change Healthcare, flagging any errors before submission. 4. Submit clean claims electronically, monitor acknowledgment statuses, and follow up on any rejections within the 24‑hour window defined in our SLA. 5. Conduct denial analysis – pull denials into Excel, apply root‑cause formulas, and work with our in‑house reimbursement analyst to draft corrective actions. 6. Maintain a personal dashboard in Tableau that tracks your own KPIs: first‑pass acceptance, average days in AR, and claim volume (target: 150–200 claims per week). 7. Participate in weekly “Revenue Review” huddles where the entire billing team discusses trends, new payer guidelines, and any spikes in denial rates. 8. Mentor junior billing staff on coding best practices, providing quick “code‑clinic” sessions when they hit a snag. 9. Keep documentation up to date in Confluence, describing any custom workflows you create for niche payer rules. **Tools you’ll work with** - **Epic** (for clinical data extraction) - **Athenahealth** (for charge capture) - **AdvancedMD** (our primary billing platform) - **Navicure** / **Change Healthcare** (EDI claim submission) - **Kareo** (for occasional outpatient claims) - **Meditech** (when dealing with legacy hospital systems) - **Tableau** (performance dashboards) - **Excel** (advanced formulas, pivot tables) - **Confluence** (team knowledge base) - **Slack** (real‑time communication) We count on at least eight of those on any given day; the rest surface when a new contract rolls in or a payer changes policy. **Who you are** - 3 + years of hands‑on medical billing or health‑care revenue‑cycle experience, preferably in a remote or hybrid setting. - Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) credential; we pay for the exam if you haven’t taken it yet. - Proven ability to manage a claim volume of 150+ per week while keeping first‑pass acceptance at or above 98 %. - Comfortable navigating at least three of the platforms listed above; deep expertise in Epic and AdvancedMD is a strong plus. - Strong analytical mindset – you can spot a pattern in denial codes the same way a detective spots a clue. - Excellent written communication; you’ll be drafting denial rebuttals and updating SOPs for a distributed audience. - Self‑starter with a home office that meets HIPAA standards (we’ll reimburse a basic privacy screen and a headset). **The team you’ll join** Our billing department consists of 24 specialists spread across five states, plus a handful of contract coders. The core team—12 full‑time billing analysts, 4 revenue‑cycle managers, and 2 senior compliance officers—operate from a shared Slack channel we call #billing‑hub. You’ll report to the Billing Operations Manager, who runs a bi‑weekly “Pulse Check” call to surface bottlenecks and celebrate wins. The manager’s team has a 94 % employee retention rate over the past three years, a testament to the collaborative culture we nurture. **Why Berkeley, California matters even for a remote role** Even though you’ll work from wherever you feel most productive, we keep a small “home‑base” crew in Berkeley, California because the local medical community here is a testing ground for new payer contracts. You’ll occasionally join a live “code‑walk” session with a provider in Berkeley to verify that documentation aligns with claim rules. Those sessions are short—usually 15‑20 minutes—but they give us a direct line to the front‑line clinicians who make the billing data possible. Plus, the city’s robust broadband infrastructure means you’ll have a reliable connection for those occasional screen‑share moments. **Compensation and benefits** - Salary: $55,000 – $70,000 base, commensurate with experience and the specific mix of tools you bring (e.g., Epic mastery can push you toward the top of the range). - Quarterly performance bonus tied to SLA compliance and denial‑rate reduction (average 5 % of base). - Full health, dental, and vision coverage; we cover 100 % of employee premiums. - 12 paid holidays, plus a “flex‑day” each quarter you can use for personal appointments or a mental‑health day. - Home‑office stipend of $600 per year for ergonomic gear, plus a $300 annual reimbursement for HIPAA‑compliant privacy solutions. - Professional development budget of $1,200 annually for coding certifications, webinars, or industry conferences (we’ll even cover travel to a conference in Berkeley if you prefer). **Why people join us** > “When I first logged into our Epic sandbox from my kitchen table, I thought I’d be staring at endless code numbers. Instead, a colleague in Berkeley invited me to a quick Zoom coffee break, showed me how the new payer rule changed a single line of code, and we celebrated as our first‑pass rate jumped to 99 % that afternoon. That blend of technical challenge and real‑time camaraderie is why I stay.” – Maya L., Senior Billing Analyst (Remote, 3 years) **How to apply** If you’re ready to own a critical piece of our revenue engine and enjoy the freedom of remote work anchored by a supportive team in Berkeley, California, send us a résumé, a brief cover letter that tells us why you love turning clinical notes into clean claims, and a copy of any coding certifications you hold. Please include “Remote Billing Specialist – Berkeley/California” in the subject line. We’ll review applications on a rolling basis and aim to schedule a 30‑minute “getting‑to‑know‑you” chat within five business days of receipt. We’re not looking for a perfect résumé; we’re looking for someone who can learn fast, think critically, and communicate clearly with both clinicians and payers. If that sounds like you, we can’t wait to meet you. Apply tot his job