Full Time Medical Biller Needed (Remote)

Remote Full-time
We are growing and deliver exceptional and high patient care. We are searching for a highly professional and experienced Medical Billing Specialist to join our team soon. The ideal candidate for this responsibility mustl have a strong command of Revenue Cycle Management (RCM) and demonstrate hands-on expertise in key technical functions such as insurance portal setup, ERA/EOB enrollments, EDI setups. The candidate must have knowledge on claim submissions, denial resolution, and AR follow-ups. This is the fantastic opportunity for who are fast paced, collaborative and ensure accurate, timely reimbursmetns. Also we expect real impact to grow our organizaion.

Key Responsibilities:

Full Revenue Cycle Management (RCM):

The ideal candidate should be able to handle full RCM, from charge entry to AR follow ups and Reporting.

Insurance Verifications & Authorizations:

Checking benefits before appointments and submitting authorization if required

Claim Submission & Scrubbing:

Accurately enter CPT, ICD-10, and HCPCS codes, scrub claims for errors, and submit clean claims to payers using the designated clearinghouse.

ERA & EOB Posting:

Posting ERAs and EOBs daily basis with payment accuracy.

Rejections & Denials Management:

The candidate must handle clearinghouse and insurance rejections and denials.

Patient Statements & Inquiries:

Generate and send patient statements. Respond to patient billing inquiries with professionalism and clarity.

Portal Creation & Maintenance:

Creating portals for claim tracking and verification purposes

Reporting :

Run monthly billing and AR reports, identify trends, and assist in audits to ensure billing accuracy.

Required Skills and Qualifications:

Proven experience of more than years as a Medical Biller or RCM Specialist in a medical office, clinic, or billing company.

Strong knowledge of codes like ICD 10, CPT codes and billing guidelines

Proficient in working with clearinghouses (e.g., TriZetto, Availity), billing software (Tebra/Kareo, Office Ally, Athena,and many more if needed).

Experience with ERA setups, EFT enrollments, EDI setups, adding new payers, insurance portal creation, and payer credentialing.

Perfect skills in denial resolution, AR follow-up, and patient collections.

Independent working ability and analytical skills.

Familiarity with Medicare, Medicaid, and Commercial insurance plans.

Communication skills like verbal and non verbal.

Time managing skills

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