Virtual Medical Biller & Revenue Cycle Specialist
S
Staffing for DoctorsMedical Billing
PhilippinesFull-TimeSenior
Salary not disclosed
Apply NowOpens the employer's application page
Job Details
- Experience
- 2+ years
- Required Skills
- HIPAA
Requirements
- Minimum 2+ years of dedicated U.S. medical billing experience.
- Proven experience working inside a surgical or specialty medical practice.
- Comfortable with multi-tier surgical coding rules.
- Deep understanding of In-Network and Out-of-Network insurance models, commercial payers, and Medicare.
- Dedicated, secure home office setup compliant with HIPAA protocols.
- High-speed internet access.
- Experience with Bariatric Surgery, General Surgery, or Medical Aesthetics preferred.
- Advanced technical fluency within the Practice Fusion EMR ecosystem preferred.
- Knowledge of surgical bundling, multiple procedure modifiers, and assistant surgeon billing preferred.
Responsibilities
- Review, scrub, and electronically submit all medical claims.
- Audit clinical documentation to verify CPT modifiers, ICD-10 codes, and procedural coding.
- Resolve billing errors prior to clearinghouse submission.
- Monitor claim statuses and aggressively appeal denied or rejected claims.
- Systematically track insurance aging reports and accounts receivable.
- Identify systemic underpayment patterns to streamline workflows.
- Audit patient insurance profiles and confirm surgical caps/deductibles.
- Cross-verify pre-authorizations and physician referrals.
- Communicate with insurance carriers and Medicare to resolve claim bottlenecks.
- Provide financial counseling support for patient billing inquiries.
View Full Description & ApplyYou'll be redirected to the employer's site
