Remote Surgical Billing Specialist

About the Role

Step into a vital position in healthcare finance as a Remote Surgical Billing Specialist. This fully remote opportunity is ideal for professionals who possess a meticulous eye for detail, a deep understanding of medical billing practices, and a passion for contributing to healthcare systems behind the scenes. As a member of our virtual billing department, you will ensure that surgical claims are submitted accurately and processed efficiently. By joining our collaborative and mission-driven team, you will not only streamline billing operations but also support the financial sustainability of healthcare delivery.

This role offers more than administrative duties—it’s an opportunity to shape the financial backbone of surgical care. You'll work with a forward-thinking team, leveraging cloud-based platforms and data-driven tools to minimize denials, reduce delays, and maximize reimbursements. The environment encourages autonomy, innovation, and personal growth. Whether you're refining your existing skills or preparing to step into leadership, you'll have the resources and support to grow your career from anywhere.

Key Responsibilities

Managing Surgical Billing Processes

• Prepare and submit clean claims using CPT, ICD-10, and HCPCS codes for surgical procedures across multiple specialties.
• Review operative reports and supporting documents to ensure accurate coding and charge entry.
• Identify and apply appropriate modifiers to reflect procedural nuances, assisting with accurate reimbursement.
• Remain current on payer-specific policies and coding changes to maintain compliance.
• Audit submitted claims regularly to identify discrepancies and correct errors before submission.

Supporting Revenue Cycle Operations

• Collaborate with accounts receivable and collections teams to resolve outstanding claim issues.
• Analyze payer responses and adjust claims accordingly to minimize payment rejections.
• Track denial patterns and escalate recurring problems to the appropriate internal stakeholders.
• Participate in end-of-month reporting and billing reconciliation efforts
• Support the development of standard operating procedures for surgical billing workflows

Handling Documentation and Interdepartmental Coordination

• Liaise with surgeons, nurses, and schedulers to validate procedure details and documentation accuracy
• Ensure alignment between surgery reports and billing records
• Respond promptly and professionally to billing inquiries from insurance companies and patients
• Maintain comprehensive records of communication with payers and providers for audit-readiness
• Uphold patient confidentiality and HIPAA compliance at every step of the billing cycle

Remote Work Environment

Flexibility in a Virtual Setup

• Operate independently in a fully remote position with robust digital tools and support.
• Access centralized documentation and billing platforms securely through cloud-based systems
• Attend scheduled virtual meetings and training sessions to stay aligned with team goals.
• Benefit from schedule flexibility while adhering to time-sensitive billing deadlines

Growth-Oriented Workplace Culture

• Be part of an organization that values continuous learning and cross-functional collaboration.
• Take part in webinars, certification reimbursement programs, and self-paced online training.
• Receive regular performance feedback and coaching from experienced billing managers.
• Contribute ideas to process improvements and system enhancements
• Thrive in a team culture that promotes transparency, respect, and work-life integration

Tools and Technology

Software and Systems

• Utilize industry-leading EHR and billing platforms, including Epic, Cerner, and NextGen.
• Submit claims through secure payer portals and clearinghouses with batch and real-time processing.
• Engage with analytics dashboards to track key performance indicators (KPIs), such as the first-pass resolution rate and average reimbursement time.
• Communicate using HIPAA-compliant collaboration tools like Zoom, Slack, and Microsoft Teams.

Qualifications

Educational and Professional Credentials

• Completion of secondary education is required; a two- or four-year college degree in a related field, such as health administration, billing, or finance, is highly advantageous.
• CPB (Certified Professional Biller) or CCS (Certified Coding Specialist) designation strongly preferred
• Continued education in surgical coding, payer policy updates, and billing regulations is a plus.

Work Experience and Technical Skills

• At least two to three years of practical experience in healthcare billing, including at least 1 year specifically in surgical billing
• Demonstrated knowledge of surgical procedures and standard billing codes for orthopedics, general surgery, and gastroenterology
• Experience managing denials, appeals, and follow-up processes across multiple payers
• Comfortable working in various software platforms and managing large billing volumes

Attributes for Success

• Exceptional attention to detail and analytical mindset
• Organized, self-directed, and highly accountable
• Ability to prioritize and multitask effectively under deadline pressure
• Excellent written and verbal communication skills
• Committed to ethical standards and privacy compliance

Compensation and Benefits

• Annual salary: $42,673
• Comprehensive leave benefits encompassing personal time, public holidays, and wellness days leave
• Access to employee wellness programs and telehealth services
• 401(k) or retirement plan with employer contribution options
• Continuing education stipends and professional certification reimbursement
• Equipment allowance and tech support for home office setup

Career Advancement Opportunities

Professional Growth Tracks

• Eligibility for promotion to Senior Billing Specialist after one year of consistent performance
• Participation in leadership training programs and billing mentorship tracks
• Opportunities to transition into roles like remote coding auditor, compliance analyst, or billing operations supervisor
• Cross-functional training in specialties like anesthesia, cardiology, and ambulatory surgery center billing
• Recognition programs that highlight innovation and billing accuracy

Role Impact

• Ensure that healthcare providers receive timely and accurate payments to support their clinical operations.
• Reduce billing errors and expedite claims turnaround, directly improving patient access to care.
• Strengthen the integrity of the revenue cycle while enhancing transparency across departments.
• Support organizational goals to deliver quality care while optimizing reimbursement strategy.

Apply Now

Do you bring accuracy, focus, and a passion for healthcare billing to the table? Join us in this fully remote, high-impact role where your expertise is appreciated and your professional growth encouraged. Apply today and take your place in a dynamic team that’s improving surgical billing from anywhere in the world.