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Insurance Verification & A/R Specialist | USA Only - Remote | Full Time

Remote · Japan Full-time

Healthcare Consulting and Compliance Solutions (HCCS) is a boutique healthcare consulting firm providing revenue cycle management, billing operations, and compliance support to a diverse portfolio of healthcare clients. We partner with practices and organizations to streamline billing workflows, improve collections, and ensure regulatory compliance. Our remote team is the backbone of our client operations, and we're growing. We're hiring a Full-Time 1099 Healthcare Revenue Cycle Specialist with a primary focus on Insurance Eligibility Verification and Benefits, with a secondary focus on general A/R cleanup. This is a fully remote, USA-based contract position (30-40 hours per week). Core Responsibilities

  • Verify patient insurance eligibility and benefits across multiple systems and payer portals
  • Navigate Medicare, Medicaid, and Commercial payer portals
  • Update EMR records with accurate coverage details
  • Communicate eligibility findings to internal teams

Secondary Responsibilities:

  • Work A/R reports and follow up on unpaid claims
  • Support general A/R cleanup as directed

Experience:

  • 3-5 years in medical billing or A/R, with recent hands-on experience in eligibility verification
  • In-depth knowledge of Medicare, Medicaid, and Medicare Advantage billing requirements
  • Experience with billing software and EHR systems (AthenaHealth, eClinicalWorks, and Availity experience a plus)
  • Familiarity with payer-specific portals (Medicare/Medicaid)
  • Strong problem-solving skills and ability to work independently in a remote setting
  • Must be located in the United States

Preferred but not required:

  • Certification such as CPB, CRCS, CMRS, CPC, or CCS

This is a fully remote, full-time 1099 contract position (30-40 hours per week) open to US-based candidates only. The ideal candidate is organized, detail-oriented, and capable of managing shifting priorities within a fast-paced revenue cycle environment.

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