Medical Billing Specialist (ENG)

The Medical Billing Specialist plays a critical role in managing the complete billing cycle, including Revenue Cycle Management (RCM) and Accounts Receivable (A/R). This role ensures efficient billing operations by handling claims, investigating denials, and performing end-to-end billing tasks to optimize revenue for healthcare practices. Key Responsibilities: - End-to-End Revenue Cycle Management (RCM): Oversee the entire billing cycle from claims submission to final reimbursement, ensuring each step is accurately and efficiently managed. - Accounts Receivable (A/R) Collections: Track and manage unpaid bills, performing follow-ups on outstanding claims and resolving collection issues to maximize revenue. - Claims Denial Investigation and Resolution: Investigate denied claims, identify errors or required corrections, and resubmit claims with appropriate adjustments. - Claims Resubmission and Correction: Manage backend tasks related to claim resubmission, verifying accuracy, and implementing corrections as needed to avoid delays in reimbursement. - Documentation and Compliance: Ensure all billing activities are documented by regulatory standards and compliance requirements, including HIPAA. Requirements - Proven experience in medical billing with exposure to RCM and A/R processes. - Experience with claim denial management and collections processes. - Proficiency in English communication, both written and verbal. - Proficient in virtual office tools, EHR systems, and communication platforms. - Strong customer service and critical thinking skills. - Understanding of HIPAA regulations and the importance of patient data confidentiality. - Strong problem-solving skills and ability to work with minimal supervision. - Willingness to work in US time zones (PST, EST, CST). - High school diploma or equivalent. System and Work Setup Requirements: - Internet: Minimum speed of 25 Mbps or higher, with a reliable backup connection available in case of power outages or service provider issues. - Processor: Intel Core i5 7th Generation or higher (or equivalent). - Memory: 8 GB RAM. - Storage: 256 GB SSD or HDD with at least 50% free space available. - Webcam: 720p resolution or higher. - Operating System: Windows 10 or later (or equivalent). - Audio Equipment: Noise-canceling earphones or headset. - Workspace: A designated, quiet, and organized workspace free from distractions to ensure productivity and focus. Benefits - Permanent remote work setup - Competitive starting rate paid in USD - Internet Allowance - HMO insurance (PH) - Retirement Fund - Paid US holidays - Paid Vacation and Sick Leaves Originally posted on Himalayas