Top 112 Medical biller Jobs in Reston, Va

Senior Claim Benefit Specialist - Remote
CVS Health —Washington, DC
- $18.50 - $42.35 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
- Health insurance
- Dental insurance
Medical Coder and Biller
Ear Nose and Throat Specialists of Northern Virginia —Springfield, VA
- $25 - $28 an hour
- Full-time
- Hybrid work
- Clinic experience
- Mid-level
- Organizational skills
- Health insurance
- Dental insurance
Quick Apply
8d
Medical Biller
Potomac Pediatrics PC —Rockville, MD
- $23 - $30 an hour
- Part-time
- Mid-level
- Office
- In-person
Quick Apply
Patient Account Representative, Self-Pay
Virginia Heart —Falls Church, VA
- Full-time
- Hybrid work
- Microsoft Word
- Medical office experience
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Insurance Follow-up Agent
RSI ENTERPRISES INC —Sterling, VA
- Full-time
- Writing skills
- Basic math
- HIPAA
Medical Coder
VENESCO, LLC —Falls Church, VA
- Full-time
- Remote
- Mid-level
- 3 years
- Bachelor's degree
Quick Apply
Medical Billing Specialist
Cirrus iNtegrated Practice Management —Ashburn, VA
- Full-time
- HIPAA
- Office
- Organizational skills
- Profit sharing
- AD&D insurance
Quick Apply
Medical Biller
Drs Siekanowicz & Gowda LLC —Silver Spring, MD
- $27 an hour
- Full-time
- HIPAA
- Entry level
Medical Billing and Posting Specialist
Human Touch Home Health —Falls Church, VA
- $21 - $23 an hour
- Full-time
- HIPAA
- Mid-level
- Office
- Paid holidays
- Health insurance
Quick Apply
Medical Biller (In-person)
Kidney & Hypertension Specialists —Manassas, VA
- $23 - $25 an hour
- Part-time
- Mid-level
- In-person
- 1 year
- 401(k)
- Paid time off
Quick Apply
7d
Medical Billing Specialist
Pediatric Associates of Alexandria Inc —Arlington, VA
- $22 - $25 an hour
- Full-time
- Mid-level
- Pediatrics
Quick Apply
Senior Medical Coder
Optum —Washington, DC
- $24 - $43 an hour
- Full-time
- Remote
- Anatomy knowledge
- Pass drug screening
- Mid-level
Billing Assistant
BEACON BEHAVIORAL SUPPORT SERVICES —Fairfax, VA
- $18 - $23 an hour
- Full-time
- HIPAA
- Mid-level
- 3 years
Quick Apply
Billing Clerk
Applied Home Health Solutions —Woodbridge, VA
- Entry level
Certified Medical Billing & Coding Specialist
CLINICA FAMILIAR DE ARLINGTON —Falls Church, VA
- $30 - $40 an hour
- Email
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Dental Billing Specialist
Howard University —Washington, DC
- $43,641 - $48,006 a year
- Full-time
- Microsoft Excel
- Research
- Mid-level
- 403(b) matching
- Commuter assistance
Billing - Coding - A/R
Rocky Run Family Medicine —Centreville, VA
- $40,000 - $50,000 a year
- Full-time
- Mid-level
- 3 years
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
12d
Medical Billing Specialist
Strategic Insight, Ltd. —Washington, DC
- Full-time
- Private practice
- Surgery
- Mid-level
- Health insurance
Quick Apply
Collections Representative
Children's National Hospital —Washington, DC
- $18.54 - $30.89 an hour
- Full-time
- In person
- Microsoft Excel
- Customer service
- Research
Physician Insurance Analyst 4
Inova Health System —Falls Church, VA
- Full-time
- Mid-level
- Office
- Administrative experience
- Wellness program
- Health insurance
6d

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medical biller jobs near reston, va

Senior Claim Benefit Specialist - Remote

CVS Health -
Washington, DC

Apply Now

Job Details

Full-time
$18.50 - $42.35 an hour

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

High school diploma or GED
Health insurance knowledge

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary
Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines. Functions as a subject matter expert by providing coaching, and offering guidance on escalated or technically challenging issues. Supports customer service operations by addressing inquiries and resolving issues to ensure a positive member experience.

Additional Responsibilities

Reviews pre‑specified claims and those that exceed specialist adjudication authority or processing expertise.
Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.
Ensures compliance with all regulatory requirements and confirms that payments align with company policies and procedures.
Identifies and reports potential overpayments, underpayments, and other claim irregularities.
Performs claim rework calculations as needed.
Trains and mentors as needed to enhance team performance and technical proficiency.
Conducts outbound calls to obtain required information for claims or reconsideration requests.

Required Qualifications

Minimum of 18 months of medical claim processing experience with a health insurance payor or third‑party administrator.
Proven success working in a high‑volume, production‑driven environment.
Demonstrated ability to manage multiple assignments with accuracy, efficiency, and attention to detail.

Preferred Qualifications

Self-Funding experience
DG system knowledge

Education

High School Diploma required
Preferred Associates degree or equivalent work experience.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $42.35

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

medical biller jobs in reston, va

Senior Claim Benefit Specialist - Remote

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Medical Billing Specialist

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Physician Insurance Analyst 4

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