Key Responsibilities Claim Submission:

Translate medical documentation into accurate electronic claims using proper billing identifiers.

Denial Management:

Review rejected claims, research coding errors, and submit timely appeals.

Accounts Receivable:

Track outstanding balances and follow up with insurance companies on delayed payments.

Patient Support:

Answer inquiries regarding insurance coverage, deductibles, copays, and payment plans.

Compliance Review:

Maintain current knowledge of industry regulations, including HIPAA and payer-specific guidelines CCM/RPM -Review monthly care logs to verify patients meet minimum clinical time thresholds. CCM/RPM -Confirm regular, compliant physiologic data transmissions (device syncs) for RPM claims.

Required Qualifications Experience:

2+ years of medical billing or revenue cycle experience in a clinic or hospital setting.

Education:

High school diploma or equivalent; medical billing certification or degree is a plus.

Coding Literacy:

Strong foundational knowledge of ICD-10-CM, CPT, and HCPCS coding systems.

Tech Skills:

Proficiency with Electronic Health Record (EHR) systems and clearinghouse platforms.

Preferred Skills Communication:

Ability to explain complex billing and insurance terms to patients clearly and empathetically.

Detail-Oriented:

High accuracy in data entry and spotting small discrepancies in medical documentation.

Pay:

$18.00 - $20.00 per hour

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