Remote Medical Billing Specialist at OCHIN: Complete Job Guide

Securing a remote position in healthcare administrative management offers career flexibility, competitive pay, and the opportunity to support essential community health operations. OCHIN, a national non-profit health technology leader, is actively expanding its virtual workforce by hiring a Medical Billing Specialist. Positioned within OCHIN Billing Services (OBS), this role serves as a crucial point of support for Federally Qualified Health Centers (FQHCs) and rural health networks across the United States.

This comprehensive overview examines the responsibilities, salary ranges, technical qualifications, and application steps for the Medical Billing Specialist position at OCHIN.

About OCHIN and Its Mission

Founded in Oregon in 2000, OCHIN has grown into a nationwide non-profit organization driving innovation in health care technology, analytics, and revenue cycle solutions. OCHIN operates with a fully virtual team of over 1,200 professionals spanning 49 states.

The organization focuses on equipping community health centers, rural hospitals, and safety-net clinics with tailored EHR systems (notably built on Epic infrastructure) and operational expertise. By managing billing workflows and optimizing revenue cycles, OCHIN ensures that safety-net providers remain financially sustainable while delivering care to medically underserved populations.

Role Overview: Medical Billing Specialist

The Medical Billing Specialist provides account management and revenue cycle management (RCM) support to member organizations within the OCHIN network. The primary goal is to ensure clean claim generation, resolve complex payer denials, manage accounts receivable (A/R), and maintain compliance with federal and state healthcare regulations.

+-----------------------------------------------------------------------------------+
|                            REVENUE CYCLE WORKFLOW                                 |
+-----------------------------------------------------------------------------------+
|  1. Charge Review   -->   2. Claim Creation   -->   3. Payer Submission           |
|  (Verify Codes)          (Clean Claim Checks)       (Electronic EDI File)         |
|                                                                 |                 |
|  6. Accounts Rec.   <--   5. Denial Mgmt      <--   4. EOB / ERA Processing       |
|  (A/R & Appeals)         (Identify Root Cause)      (Payment Posting)             |
+-----------------------------------------------------------------------------------+

Key Position Details

• Job Title: Medical Billing Specialist

• Employer: OCHIN, Inc.

• Hourly Pay Range: $20.48 – $32.77 per hour

• Employment Type: Full-time, Remote (Virtual Home Office)

• Travel Requirements: Up to 20% national travel for on-site “Go Live” software implementations when required by business needs.

Core Duties and Operational Responsibilities

The Medical Billing Specialist plays an active role in maintaining the financial performance metrics for member clinics. Primary duties include:

1. Accurate & Compliant Claim Execution

• Reviewing, auditing, and processing primary, secondary, and tertiary insurance claims.

• Ensuring proper usage of CPT®, HCPCS Level II, and ICD-10-CM coding standards across various billing setups.

• Managing electronic data interchange (EDI) file submissions, paper billing preparation, and clean claim submissions.

2. Denial Management and Accounts Receivable (A/R)

• Tracking unpaid, rejected, or denied claims to identify root causes and trends.

• Preparing and submitting formal claim appeals with necessary supporting documentation.

• Posting electronic remittance advice (ERA), paper explanations of benefits (EOB), and patient payments.

3. FQHC & Specialty Payer Management

• Handling billing rules unique to Federally Qualified Health Centers (FQHCs), including prospective payment systems (PPS) and encounter rate structures.

• Managing claims across Medicare, Medicaid, Motor Vehicle Accidents (MVA), Workers’ Compensation, and commercial insurance plans.

4. Stakeholder & Client Collaboration

• Interacting with clinic billing supervisors, patient access specialists, and payer representatives to resolve billing bottlenecks.

• Addressing patient account inquiries regarding self-pay schedules, fee adjustments, and financial hardship assistance.

Qualifications and Skill Requirements

To succeed in this role, applicants must possess a mix of technical knowledge in healthcare revenue systems and strong analytical skills.

Preferred Qualifications

• Experience: Prior experience in medical billing, coding, or revenue cycle operations.

• FQHC Expertise: Proven familiarity with Federally Qualified Health Center (FQHC) operational standards and billing methodologies.

• State-Specific Billing Knowledge: Specific billing experience in California, Iowa, or Hawaii. California billing expertise is highly preferred due to state-specific Medi-Cal requirements.

• Hospital Experience: For acute care hospital assignments, background in rural hospital billing is required.

• Certifications: Certified Professional Biller (CPB) or Certified Professional Coder (CPC) from the American Academy of Professional Coders (AAPC) is strongly preferred.

• Payer Knowledge: Working familiarity with Medicare, Medicaid, commercial insurance policies, Workers’ Comp, and third-party liability claims.

General Work-From-Home & Travel Requirements

1. Remote Office Infrastructure: High-speed internet access and a dedicated, quiet, distraction-free home office setup.

2. Virtual Presence: Ability to actively participate on camera during virtual team and client video meetings.

3. National Travel Flexibility: Capacity to travel up to 20% nationally to support clinic go-live implementations, system transitions, and training events.

4. Work Authorization: Applicants must hold permanent legal work authorization in the United States. OCHIN does not offer employment visa sponsorship (e.g., H-1B, OPT transfer) now or in the future.

Salary, Benefits, and Employee Support

OCHIN offers a comprehensive compensation package designed to support employee well-being, work-life balance, and continuous career growth.

Base Pay Structure

The hourly rate ranges between $20.48 and $32.77 per hour, depending on factors including experience, geographic market data, professional certifications, and specialized knowledge (such as FQHC or state-specific billing).

+-----------------------------------------------------------------------------------+
|                        COMPENSATION & BENEFITS SNAPSHOT                           |
+-----------------------------------------------------------------------------------+
| Pay Rate           | $20.48 - $32.77 / hour (Based on experience)                 |
| PTO & Holidays     | 20 PTO days to start + 10 Paid Holidays + 3 Floating Days   |
| Retirement         | 401(k) with generous company match and vesting plan           |
| Leave Programs     | 12 Weeks Paid Parental Leave + Sabbatical Program             |
| Home Office        | Internet stipend, WFH allowance, and provided IT equipment    |
+-----------------------------------------------------------------------------------+

Core Benefits Highlights

• Paid Time Off: 20 paid time off (PTO) days in the first year, plus 10 designated paid holidays and 3 floating holidays annually.

• Health & Wellness: Complete medical, dental, and vision insurance options, alongside wellness programs and voluntary coverage options.

• Retirement Planning: 401(k) plan featuring a competitive company match and structured vesting schedule.

• Parental & Personal Leave: Up to 12 weeks of paid parental leave and long-term sabbatical options.

• Work-from-Home Support: IT equipment (laptop, accessories) provided by OCHIN, accompanied by a monthly home internet stipend and work-from-home allowance.

Understanding OCHIN’s Hiring Assessment Process

Prior to advancing to a formal team interview, all candidates are required to complete a 50 to 60-minute competency assessment.

Assessment Characteristics

• Focus: Evaluates individual strengths, work preferences, problem-solving styles, and alignment with OCHIN’s nine core competencies.

• Evaluation Standard: It is an evaluation of operational fit and work culture compatibility rather than a standard pass/fail exam.

• Preparation Tip: Approach scenario-based questions honestly to reflect your actual daily decision-making process and team collaboration style.

How to Apply

Interested candidates who meet the requirements and possess permanent U.S. work authorization can apply directly online.

• Direct Application Portal: Apply Now for OCHIN Medical Billing Specialist

• Application Preparation: Ensure your resume highlights specific experience with medical billing software (such as Epic), FQHC billing, AAPC certifications, and state-specific Medicaid/Medicare payer knowledge.

Author Bio