Prism Health Lab · United States
Join a U.S.-based plastic and reconstructive surgery practice as a full-time remote Medical Billing Specialist to ensure accurate and efficient handling of claims, authorizations, and insurance-related issues. Your expertise in U.S. healthcare billing workflows will directly impact revenue cycle performance and patient care outcomes in a fast-paced specialty medical environment.
About the Role
Prism Health Lab is a community-based medical practice serving Chicagoland since 1987, with a mission to support local health through innovative, responsive care. We’ve pivoted to meet community needs during the pandemic and now operate eight permanent locations and mobile teams ready to respond to emerging health challenges. As a Medical Billing Specialist, you’ll play a critical role in ensuring seamless billing operations for our plastic and reconstructive surgery practice. You’ll work remotely, supporting U.S. Central Standard business hours, and collaborate with internal teams to resolve denials, manage prior authorizations, and maintain accurate records. We’re seeking someone with 3+ years of healthcare billing experience who thrives in fast-paced environments and can communicate confidently with insurance companies and practice staff. Your attention to detail and organizational skills will help us reduce claim delays and improve collections. If you’re passionate about healthcare operations and want to make a tangible impact, we want to hear from you.
What You Will Do
Manage day-to-day medical billing tasks for a plastic and reconstructive surgery practice.
Submit, track, and follow up on insurance claims.
Assist with prior authorization requests, including gathering required documentation and following up with payers.
Contact insurance companies to resolve denied, delayed, or underpaid claims.
Prepare and submit insurance appeals when needed.
Review Explanation of Benefits, claim denials, and payer responses to determine next steps.
Verify insurance coverage and benefits as needed.
Maintain accurate billing records, documentation, and follow-up notes.
Communicate clearly with the medical practice team regarding claim status, authorization updates, and outstanding issues.
Help identify billing errors, missing information, or documentation gaps.
Support overall revenue cycle processes to help improve collections and reduce claim delays.
What We Are Looking For
Minimum of 3 years of experience in medical billing, prior authorization, insurance follow-up, appeals, or a similar healthcare revenue cycle role.
Strong understanding of U.S. medical billing and insurance processes.
Experience working with insurance companies and payer portals.
Knowledge of claims follow-up, denials management, and appeals processes.
Excellent written and spoken English is required.
Strong organizational skills and attention to detail.
Ability to manage multiple tasks, follow up consistently, and meet deadlines.
Experience supporting a U.S.-based medical practice.
Nice to Have
Experience with plastic surgery, reconstructive surgery, dermatology, cosmetic surgery, or other specialty practice billing.
Familiarity with EMR/EHR or practice management systems.
Experience with prior authorizations for procedures, surgeries, medications, or specialty services.
Experience handling insurance appeals and documentation requests.
If you’re ready to make a meaningful impact in healthcare operations, apply now and join our mission to serve communities with precision and care.