Medical Claims Resolution Specialist

Metro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments. Our board-certified physicians and expert staff are on a mission to improve people’s quality of life by relieving the painful, yet highly treatable symptoms of vein disease—such as varicose veins and heavy, aching legs.

With over 70 clinics across 8 states , and still growing, we’re building the future of vein care—delivering compassionate, results-driven care in a modern, patient-first environment.

We proudly maintain a Net Promoter Score (NPS) of 93 , the highest patient satisfaction in the industry.

Medical Claims Resolution Specialist

Healthy legs feel better.

Metro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments. Our board-certified physicians and expert staff are on a mission to improve people’s quality of life by relieving the painful, yet highly treatable symptoms of vein disease—such as varicose veins and heavy, aching legs.

With over 70 clinics across 9 states, we’re building the future of vein care—delivering compassionate, results-driven care in a modern, patient-first environment.

We proudly maintain a Net Promoter Score (NPS) of 93, the highest patient satisfaction in the industry.

About the Role

Metro Vein Centers is seeking a detail-oriented Medical Claims Resolution Specialist to support our billing and revenue cycle operations.

This role is responsible for resolving denied, underpaid, and aging insurance claims while helping ensure accurate reimbursement and timely account resolution. You’ll work directly with insurance payers, payer portals, billing systems, and internal operational teams to investigate claim issues, submit appeals, and reduce revenue delays across our growing national clinic network.

The ideal candidate has prior experience in medical billing, insurance follow-up, denial resolution, or accounts receivable within a healthcare environment. Success in this role requires strong problem-solving skills, attention to detail, urgency, and the ability to manage high claim volumes while navigating complex payer guidelines.

This is a fully remote role supporting Metro Vein Centers’ growing national operations. The ideal candidate is highly organized, detail-oriented, and comfortable working independently in a fast-paced, high-volume claims environment.

What Your Day Looks Like

Investigating denied or underpaid medical claims

Following up with insurance payers through portals and phone communication

Reviewing payer guidelines and submitting claim appeals

Managing aging reports and prioritizing time-sensitive accounts

Reprocessing claims and updating billing information within the EMR system

Collaborating with billing, coding, and operational teams to resolve claim issues

Managing multiple claims simultaneously while maintaining productivity and accuracy standards

What You’ll Do

Investigate and resolve denied, unpaid, or underpaid insurance claims

Submit timely and accurate appeals based on payer-specific guidelines and supporting documentation

Follow up on aging claims through payer portals, phone calls, and billing systems

Review claim edits, rejections, and payment discrepancies to determine resolution steps

Perform insurance re-verification and reprocess claims as needed

Post adjustments, payments, and account updates accurately within the EMR system

Maintain detailed documentation regarding claim follow-up activity and payer communication

Collaborate with internal billing, coding, and operational teams to reduce recurring denials and reimbursement delays

Support departmental productivity, quality, and turnaround time expectations

What You’ll Bring

Ability to work independently and maintain productivity in a fully remote environment

Strong understanding of medical billing, claims follow-up, denial management, and insurance workflows

Knowledge of CPT, ICD-10, EOBs, payer guidelines, and medical billing terminology

Comfortable navigating payer portals, EMR systems, and healthcare billing platforms

Strong analytical and problem-solving skills with attention to detail

Ability to manage multiple claims and deadlines within a fast-paced environment

Clear written and verbal communication skills when working with payers and internal teams

Organized, self-motivated, and accountable work style

Education & Experience

High school diploma or equivalent required

2+ years of experience in medical billing, insurance follow-up, denial resolution, claims management, or healthcare revenue cycle operations required

Prior experience with surgical, specialty practice, outpatient, or procedural billing strongly preferred

Familiarity with Centricity / Athena EMR preferred

Experience reviewing appeals, denials, EOBs, and payer correspondence strongly preferred

This Role Is Great For Candidates With Experience In:

Medical Billing

Claims Resolution

Insurance Follow-Up

Denial Management

Accounts Receivable (AR)

Revenue Cycle Management

Healthcare Billing

Payer Appeals

Medical Collections

Specialty Medical Billing

Surgical Billing

Healthcare Administration

Schedule & Location

Fully remote position

Standard business hours Monday–Friday

Candidates must have reliable internet access and a distraction-free remote work environment

Benefits to Support Your Wellbeing & Lifestyle

Full-time team members at Metro Vein Centers are eligible for:

Medical, Dental, and Vision Insurance

401(k) with Company Match

Paid Time Off (PTO) + Paid Company Holidays

Company-Paid Life Insurance

Short-Term Disability Insurance

Employee Assistance Program (EAP)

Career Growth & Development Opportunities

The Metro Vein Centers Difference

• Healthy legs. Happier lives.
• At Metro Vein Centers, we believe exceptional care begins with an exceptional experience. Our mission is to make vein care approachable, empowering, and connected to overall well-being. From the first conversation to the final follow-up, every patient interaction reflects our commitment to compassion, expertise, and trust.

• A team united by purpose.
• Our values guide everything we do:

Patients First, Always – Every interaction should make our patients feel valued, heard, and cared for.

Stronger Together – Teamwork and collaboration drive our success. We lift each other up to deliver the best for our patients.

A Can-Do Spirit – We meet every challenge with positivity, flexibility, and problem-solving energy.

Results That Make a Difference – We’re driven to improve lives through meaningful, measurable outcomes.

Commitment to Growth – We invest in our people, fostering advancement and professional development at every level.

• Metro Vein Centers is an Equal Opportunity Employer.
• We’re committed to creating a workplace where everyone feels seen, heard, and supported. We do not discriminate based on race, color, religion, sex, national origin, age, disability, genetics, gender identity or expression, sexual orientation, veteran status, or any other protected status in accordance with applicable federal, state, and local laws. This policy applies to all aspects of employment, including recruitment, hiring, promotion, compensation, benefits, and termination.

• Legal & Compliance Notice:
• Metro Vein Centers complies with all applicable federal, state, and local employment laws, including those related to nondiscrimination, equal opportunity, and pay transparency. Where specific disclosures or postings are required by law, we provide this information as part of our hiring process or upon request.

• Your privacy matters.
• To learn more about how we collect, use, and protect your information, please review our privacy policy here .