Certified Medical Billing Representative

To support patient care, the full-time remote Certified Medical Billing Representative will manage medical claims processing, review documentation, and provide payment assistance solutions such as co-pay cards and vouchers. Key responsibilities Receive and review medical claims from healthcare providers and patients, ensuring all required documentation is complete Interpret Explanation of Benefits (EOB) and CMS-1500 forms to evaluate claims against program-specific business rules Provide customer support through various communication channels and identify operational challenges to recommend solutions Required qualifications High School Diploma or equivalent Completion of a Medical Billing Program or certification as a Certified Medical Billing Representative Experience in claims processing and ability to interpret EOBs Insurance verification experience and familiarity with payment postings Previous call center or customer service experience