Medical Billing and Denial Follow Up

TruBridge

Job Overview

Location

Remote - US

Job Type

Full-time

Full Job Description

📋 Description

• The Medical Billing and Denial Follow Up role at TruBridge is critical to ensuring accurate revenue cycle management by investigating, analyzing, negotiating, resolving, documenting, and reporting on consumer and commercial billing issues and complaints against the organization. This position directly impacts financial integrity and customer satisfaction by identifying root causes of billing discrepancies and presenting appropriate resolution options to customers, thereby reducing revenue leakage and improving trust in the billing process.
• The person will perform day-to-day responsibilities including investigating denied or disputed claims by reviewing patient accounts, insurance explanations of benefits (EOBs), and contractual agreements; analyzing billing errors related to coding, eligibility, authorization, or timely filing; negotiating and authorizing billing settlements within established limits to resolve patient and payer disputes; adjusting customer accounts accurately in the billing system; documenting all interactions, decisions, and resolutions in case notes for audit and compliance purposes; reporting trends in denials and billing issues to management to support process improvement initiatives; collaborating with clinical, billing, and payer relations teams to prevent recurrence of similar issues; and maintaining compliance with healthcare regulations such as HIPAA and state-specific billing laws while upholding TruBridge’s commitment to ethical, patient-centered service.
• TruBridge is a trusted partner in healthcare revenue cycle management, serving providers across the United States with technology-enabled solutions that improve financial performance and operational efficiency. The company fosters a culture of accountability, continuous improvement, and customer advocacy, where employees are empowered to resolve complex billing challenges with empathy and precision. As a remote-first organization, TruBridge values flexibility, self-direction, and strong communication skills, enabling team members to contribute meaningfully from any location while staying aligned with company goals through structured collaboration tools and regular virtual check-ins.
• In this role, the individual will develop deep expertise in healthcare billing systems, denial management workflows, and payer-specific guidelines, gaining valuable experience in medical coding fundamentals (CPT, ICD-10, HCPCS), insurance adjudication processes, and revenue cycle analytics. They will sharpen their negotiation and conflict resolution skills by handling sensitive patient and payer interactions, build proficiency in healthcare compliance standards, and position themselves for advancement into senior billing analyst, denial management specialist, or revenue cycle leadership roles within TruBridge or the broader healthcare industry.

🎯 Requirements

• Minimum of 2 years of experience in medical billing, claims adjudication, or denial management within a healthcare setting, preferably with exposure to both commercial and government payers (Medicare, Medicaid).
• Proficiency in using electronic health record (EHR) and practice management systems (e.g., Epic, Cerner, Meditech, or similar) for account review, payment posting, and adjustment processing.
• Strong understanding of medical coding guidelines (CPT, ICD-10-CM, HCPCS Level II) and insurance billing rules to identify root causes of denials related to coding, modifiers, bundling, or lack of authorization.
• Excellent written and verbal communication skills to clearly explain billing issues to patients and payers, negotiate resolutions, and document case details accurately for audit trails.
• Ability to work independently in a remote environment with strong time management, self-motivation, and attention to detail, while maintaining compliance with HIPAA and data privacy regulations.
• Nice-to-have: Certification such as Certified Professional Biller (CPB), Certified Medical Reimbursement Specialist (CMRS), or Certified Coding Specialist (CCS) from AAPC or AHIMA.

🏖️ Benefits

• Comprehensive health, dental, and vision insurance plans with employer contributions to support employee and family well-being.
• 401(k) retirement savings plan with company matching to help build long-term financial security.
• Generous paid time off (PTO) policy including holidays, vacation, and sick leave, promoting work-life balance in a remote setting.
• Ongoing professional development opportunities, including access to training resources, webinars, and support for certification reimbursement in healthcare billing and coding.
• Employee Assistance Program (EAP) offering confidential counseling, legal, and financial support services.
• Remote work flexibility with stipend for home office setup to ensure a productive and ergonomic workspace.

Skills & Technologies

Remote

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TruBridge

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About TruBridge

TruBridge is a healthcare solutions company that provides comprehensive revenue cycle management, electronic health record (EHR), and various technology and services designed to enhance the financial and operational health of healthcare organizations. Serving rural, critical access, and community hospitals, as well as ambulatory clinics and providers across the U.S., TruBridge empowers clients to simplify workflows, improve financial outcomes, and deliver better patient care. With over 45 years of healthcare experience and trusted by more than 1,500 clients, the company focuses on creating stronger communities by ensuring healthcare organizations remain independent and financially stable. They specialize in tailoring solutions to unique client needs, clearing the way for care.

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