Overview
A remote opportunity is available for a Medical Billing & Revenue Cycle Specialist with 5-7 years of senior-level experience. This full-time or part-time role offers a salary range of $175,000 to $213,000 per year. A Bachelor’s Degree is required.
Responsibilities
- Verify patient insurance eligibility, benefits, and authorizations
- Review and process medical claims accurately and efficiently
- Submit electronic and paper claims to insurance carriers
- Monitor claim status and resolve claim rejections and denials
- Perform accounts receivable follow-up on unpaid and underpaid claims
- Prepare and submit appeals for denied claims
- Post insurance and patient payments accurately
- Reconcile payments, adjustments, and write-offs
- Communicate with insurance companies regarding claim issues and payment discrepancies
- Respond professionally and courteously to patient billing inquiries
- Maintain compliance with healthcare regulations and payer requirements
- Generate billing, collections, and revenue cycle reports as required
- Identify opportunities to improve reimbursement and reduce denials
Required Qualifications
- Minimum 2 years of experience in medical billing, revenue cycle management, or healthcare accounts receivable
- Strong understanding of medical billing processes and insurance claims
- Knowledge of ICD-10, CPT, and HCPCS coding systems
- Experience with Medicare, Medicaid, and commercial insurance billing
- Proficiency in medical billing software and electronic health record (EHR) systems
- Strong attention to detail and problem-solving skills
- Excellent verbal and written communication skills
- Ability to manage multiple priorities and meet deadlines
Preferred Qualifications
- Certification such as CPB, CPC, CRCR, RHIT, or RHIA
- Experience with denial management and appeals
- Advanced Microsoft Excel skills
- Familiarity with healthcare practice management systems
Key Competencies
- Medical Billing & Coding
- Revenue Cycle Management
- Accounts Receivable Follow-Up
- Claims Processing
- Denial Management
- Payment Posting
- Insurance Verification
- Analytical Thinking
- Customer Service
- Accuracy and Attention to Detail
Compensation & Benefits
- Competitive salary
- Professional development opportunities
- Supportive team environment
- Career growth opportunities
Location
Remote