Medical Biller - Revenue Cycle Management

New
S
Staffing for DoctorsMedical Billing
PhilippinesFull-TimeMiddle
Salary not disclosed
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Job Details

Languages
English
Experience
3+ years
Required Skills
HIPAA

Requirements

  • Minimum 3+ years of hands-on, full-cycle U.S. medical billing and RCM experience.
  • Strong proficiency with CPT, HCPCS, ICD-10 coding, and modifier usage.
  • Exceptional written and spoken English skills.
  • Thorough understanding of HIPAA regulations and patient privacy laws.
  • Recent, hands-on experience using eClinicalWorks (eCW) is highly preferred.
  • Billing experience in Internal Medicine, Pediatrics, or Obesity Medicine/Nutrition.
  • Prior success securing approvals for weight-management and chronic disease medications.
  • Familiarity with Telzio VOIP or similar softphone applications.
  • Ability to manage digital fax workflows.

Responsibilities

  • Review charges and claims for billing accuracy and validate coding.
  • Submit electronic claims and manage rejections.
  • Post insurance and patient payments and maintain posting logs.
  • Manage denials and submit appeal packages.
  • Perform A/R follow-up and contact payers to resolve outstanding balances.
  • Verify insurance eligibility and handle prior authorizations.
  • Manage patient billing inquiries and payment plans.
  • Monitor faxes and handle billing-related calls via VOIP.
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