Risk Adjustment Coding Specialist supporting risk adjustment efforts through chart reviews and provider education. Estimated travel up to 75% in Inland Empire region, specifically LA or Orange County.
About the role
- Medical Billing Specialist for TransPerfect Health handling claims and billing processes with remote work flexibility and occasional meetings in Atlanta.
Responsibilities
- Submit and monitor claims to ensure timely and accurate reimbursement
- Perform follow-up on outstanding claims and resolve denials
- Post payments and reconcile accounts, including 835 electronic remittance files
- Ensure compliance with Medicare, insurance, and regulatory billing guidelines
- Communicate with payers, facilities, and internal teams to resolve billing discrepancies
- Maintain accurate documentation within Net Health and related systems
Requirements
- Strong medical billing experience
- Medicare billing
- Commercial insurance billing
- Private pay billing
- Claims submission, follow-up, and denial management
- Hands-on experience with Net Health and Waystar
- Strong understanding of revenue cycle processes
- Electronic payment/835 formatting
Benefits
- Competitive pay and benefits
- Opportunities for career growth
- Flexibility of remote work for work-life balance
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
No Education Requirement
Location requirements
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