Medical Claims Resolution Specialist – Remote

Want to help physician practices maximize revenue and ensure timely payments? pMD is hiring a Contract Medical Claims Resolution Specialist to aggressively follow up on healthcare insurance receivables and resolve outstanding claims.

About pMD
pMD is driven by a mission to support healthcare professionals with courage, care, and innovation. The team is dedicated to solving impossible problems—reducing medical errors, saving lives, and empowering physicians to remain financially independent. At pMD, leadership is built through mentorship, core values are lived daily, and work-life balance is deeply valued.

Schedule

  • Remote, contract role based in the U.S.
  • Minimum of 20 hours per week
  • Calls must be made to insurance carriers between 8:00 AM – 6:00 PM EST

What You’ll Do

  • Contact insurance carriers to secure payment on past-due claims
  • Research and update the status of unpaid or denied claims
  • Take corrective action to resolve outstanding claims, including high-complexity charges
  • Prepare and submit claim appeals with supporting documentation
  • Document activity details for each account in pMD’s software system
  • Meet productivity goals (7 encounters per hour, 175 per week)
  • Ensure strict compliance with HIPAA and all payer guidelines

What You Need

  • Prior medical billing or collections experience with knowledge of ICD-10, HCPCS, and medical terminology
  • Strong communication skills for working with payers
  • Exceptional attention to detail and organizational skills
  • Proficiency with Microsoft Word and access to a printer with supplies
  • Ability to meet independent contractor guidelines (W-9 required; must operate as a sole proprietor or business)
  • Must reside and be authorized to work in the U.S.

Compensation

  • $6.00 per verified claim (paid on a per-claim basis)

Benefits

  • Flexible remote work structure
  • Opportunity to work with a mission-driven healthcare technology company
  • Mentorship and professional development through pMD’s leadership culture

Make a measurable impact on patient care and practice revenue while working independently from home.

Happy Hunting,
~Two Chicks…

APPLY HERE