What are the responsibilities and job description for the Healthcare Billing Specialist position at Healthcare IT Leaders?
Our client has an opening that is a contract-to-hire, hybrid position based in Raleigh, NC — candidates must be local. They're looking for an experienced medical billing / Revenue Cycle Management professionals to help clients with billing configuration, training, implementation, and ongoing support — not a coding or backend EDI role.
Healthcare IT Leaders provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
- Configuring and optimizing billing workflows — payer rules, fee schedules, claim edits, provider info
- Troubleshooting claim rejections/denials, payment posting, eligibility issues, and ledger discrepancies
- Supporting both professional (CMS-1500) and institutional (UB-04) billing
- Working directly with Medicare, Medicaid, commercial payers, and clearinghouses
- Assisting with EDI/ERA enrollment
- Supporting client go-lives, training, and day-to-day billing operations
- 3 years hands-on medical billing or RCM experience (full cycle — charge entry through collections)
- Experience with both professional and institutional billing
- Comfortable with the 837 → clearinghouse → payer flow, 835 remittance, CARC/RARC codes, eligibility and claim status — from a billing-process view, not a technical/EDI view
- Hands-on EHR or Practice Management billing system experience and comfort configuring one (any platform — eClinicalWorks, NextGen, Athena, Allscripts, etc. — no specific system required)
- Able to independently figure out whether a billing issue is workflow, configuration, payer rules, enrollment, or user error
- Comfortable supporting multiple clients across different states/payer rules
- Basic-to-intermediate Excel (advanced formulas not required)
Healthcare IT Leaders provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.