🕒 24 days ago
Post and reconcile healthcare payments, adjustments, and denials across customer systems, while resolving account discrepancies and supporting accurate claim workflows and payment automation.
Virtual Medical Billing and RCM specialist
🕒 yesterday
Medical BillingRevenue Cycle ManagementClaims Scrubbing And SubmissionDenials Management And Appeals
📜 Description
- Review and scrub electronic claims before submission to reduce rejections and denials.
- Track, analyze, and appeal denied or rejected claims with commercial payers, Medicare, and Medicaid.
- Respond to patient billing inquiries, arrange payment plans, and assist with financial clearance.
- Maintain compliance with HIPAA, payer guidelines, and coding standards.
🛠️ Requirements
- End-to-End Revenue Cycle Management: Manage the full medical billing cycle from patient registration and insurance verification to charge entry, claim submission, and payment posting.
- Claims Scrubbing & Submission: Ensure electronic claims are meticulously reviewed and scrubbed prior to submission to reduce initial rejection and denial rates.
- Denials Management & Appeals: Proactively track, analyze, and appeal denied or rejected claims with commercial payers, Medicare, and Medicaid.
- Accounts Receivable (A/R) Follow-Up: Regularly work aging reports, follow up on unpaid claims, and resolve billing discrepancies with insurance carriers.
- Patient Billing & Support: Handle patient billing inquiries, set up payment plans, and assist with financial clearance when necessary.
- Compliance & Accuracy: Ensure all billing practices comply with HIPAA regulations, payer guidelines, and coding standards.
- Experience: Minimum of 2 years of dedicated medical billing experience specializing in full revenue cycle management.
- -Specialty Experience: Proven track record working with Family Practice or Primary Care physician practices.
- -EMR/EHR Proficiency: Hands-on experience and deep familiarity with Athenahealth and/or AdvancedMD electronic medical record systems.
- -Technical Skills: Strong understanding of ICD-10, CPT, and HCPCS coding, medical terminology, and insurance verification workflows.
✨ Benefits
- Manage billing from patient registration and insurance verification through charge entry, claim submission, and payment posting.
- Work aging reports, follow up on unpaid claims, and resolve billing discrepancies with insurance carriers.
Full job description
About the Role:
We are seeking an experienced and detail-oriented Virtual Medical Biller to manage the complete revenue cycle for family practice and primary care physician accounts. In this remote role, you will oversee day-to-day medical billing operations to maximize collection rates, minimize accounts receivable (A/R) days, and ensure accuracy across all patient billing lifecycles.
Requirements
Key Responsibilities:
1. End-to-End Revenue Cycle Management: Manage the full medical billing cycle from patient registration and insurance verification to charge entry, claim submission, and payment posting.
2. Claims Scrubbing & Submission: Ensure electronic claims are meticulously reviewed and scrubbed prior to submission to reduce initial rejection and denial rates.
3. Denials Management & Appeals: Proactively track, analyze, and appeal denied or rejected claims with commercial payers, Medicare, and Medicaid.
4. Accounts Receivable (A/R) Follow-Up: Regularly work aging reports, follow up on unpaid claims, and resolve billing discrepancies with insurance carriers.
5. Patient Billing & Support: Handle patient billing inquiries, set up payment plans, and assist with financial clearance when necessary.
6. Compliance & Accuracy: Ensure all billing practices comply with HIPAA regulations, payer guidelines, and coding standards.
Qualifications & Requirements:
- Experience: Minimum of 2 years of dedicated medical billing experience specializing in full revenue cycle management.
-Specialty Experience: Proven track record working with Family Practice or Primary Care physician practices.
-EMR/EHR Proficiency: Hands-on experience and deep familiarity with Athenahealth and/or AdvancedMD electronic medical record systems.
-Technical Skills: Strong understanding of ICD-10, CPT, and HCPCS coding, medical terminology, and insurance verification workflows.
-Communication & Organization: Excellent written and verbal communication skills, with the ability to work independently in a remote virtual environment.
- Reliable and able to commit long term for this role.
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