Revenue Cycle Management & Billing Specialist

• Location: Remote
• Company: eddii, Inc. / eddii-Care
• Engagement: Part-Time Contractor
• Travel: 0%

eddii-Care is a virtual endocrinology specialty clinic providing innovative, compassionate care for people living with diabetes and other endocrine conditions.

We are seeking an experienced Revenue Cycle Management & Billing Specialist to take hands-on ownership of our billing and claims operations and help improve overall revenue-cycle performance.

Position Overview

This is a hands-on role for someone who can manage claims from submission through final resolution and payment. You will submit claims, work denials and rejections, follow up with payers, manage outstanding A/R, review billing and coding issues, and identify recurring problems affecting reimbursement.

We are looking for someone who is proactive, detail-oriented, persistent, and comfortable owning unresolved issues through completion.

Key Responsibilities

• Prepare, review, and submit claims to commercial payers, Medicare, and Medicaid.
• Monitor claim status and follow up on unpaid, denied, rejected, or underpaid claims.
• Correct and resubmit claims and prepare appeals or reconsiderations when needed.
• Contact payer provider-services teams to resolve claim issues.
• Actively manage outstanding A/R and aging claims.
• Review EOBs, ERAs, payments, adjustments, and patient responsibility.
• Review clinical documentation for appropriate CPT, ICD-10-CM, HCPCS, modifier, and place-of-service usage.
• Identify coding, documentation, eligibility, credentialing, or payer issues affecting reimbursement.
• Manage post-adjudication patient balances and respond to billing questions.
• Identify recurring denial or reimbursement trends and recommend improvements to billing workflows.
• Maintain clear reporting on claims, denials, A/R, and outstanding issues.

Qualifications

• 3+ years of hands-on medical billing, claims, or revenue-cycle experience.
• Experience managing claims from submission through payment.
• Experience working denials, rejections, unpaid claims, and underpayments.
• Strong knowledge of CPT, ICD-10-CM, HCPCS, modifiers, EOBs, and ERAs.
• Experience with commercial payers, Medicare, and/or Medicaid.
• Strong attention to detail and problem-solving skills.
• Comfortable calling insurance companies and following issues through resolution.
• Ability to work independently in a remote environment.

Preferred

• Experience with telehealth, endocrinology, diabetes care, or outpatient specialty practices.
• Experience with Medicare Advantage, Medicaid managed care, or dual-eligible populations.
• CPC, CPB, CCS, or similar certification.
• Experience with clearinghouses, payer portals, EHR/EMR systems, and practice-management platforms.
• Experience in a startup or high-growth healthcare environment.

What Success Looks Like

Success means claims do not simply sit in a queue.

The right person will always know what is outstanding, why it is outstanding, what has been done, and what needs to happen next.

Key measures include

• Timely claim submission.
• Lower rejection and denial rates.
• Faster denial resolution.
• Reduction in aging A/R.
• Improved collections and reimbursement.
• Zero claims becoming stale without a clear next action.



Why Join eddii

• Flexible remote contractor role.
• Competitive compensation.
• Opportunity to shape and improve the revenue-cycle function as we grow.
• Work with a mission-driven team improving care for people living with diabetes and other chronic conditions.