Internal Billing – Revenue Cycle Specialist

This is a fully remote position, open to applicants in Philippines.

📋 Description

• Take charge of the complete revenue cycle for the practice, encompassing both front and back office tasks — including charge entry, patient check-in, claim creation, submission, payment posting, and accounts receivable workflows.

• Assess claims for precision and pinpoint billing issues prior to submission.

• Investigate and resolve issues related to claim rejections, denials, and underpayments; submit corrected claims and appeals as required.

• Analyze and manage accounts receivable aging reports to ensure prompt reimbursement.

• Act as the primary liaison for both patients and insurance payers — without handing off to external billing vendors.

• Oversee patient balances and collection efforts following the practice's policies.

• Reach out to patients regarding outstanding balances and set up payment arrangements when suitable.

• Process patient payments while maintaining accurate and transparent account balances — ensuring no undisclosed charges or retroactive adjustments to prior months' billing.

• Reconcile payment discrepancies and investigate billing issues.

• Keep precise financial documentation and patient account records.

• Serve as the main contact for the practice's billing phone line.

• Address patient inquiries about deductibles, copayments, coinsurance, eligibility/benefits, outstanding balances, payment arrangements, and billing statements/charges.

• Provide patients with copies of billing statements, itemized receipts, and payment histories as requested.

• Clearly, professionally, and compassionately explain billing information to patients and their families.

• Swiftly resolve patient billing issues and escalate complex cases when necessary.

• Monitor and report key revenue cycle metrics to management, such as Days in AR, AR Aging, Clean Claim Rate, Claim Creation/Submission Lag, Payment Posting Timeliness, and Patient Collection Performance.

• Prepare and deliver concise reports for the CEO's weekly billing meeting; strong proficiency in Excel and PowerPoint is essential for independently creating these reports.

• Adhere to HIPAA regulations, payer guidelines, and all relevant federal and state laws. The candidate must possess a current HIPAA certification.

• Collaborate effectively with the Practice Manager, administrative staff, and CEO to address billing-related issues and enhance operational processes.

⛳️ Requirements

• A minimum of 2 years of medical billing / revenue cycle experience, specifically with dedicated behavioral health billing experience — this is a strict requirement, not a preference.

• Direct, hands-on experience with Medicare billing, preferably Medicare Part B, and the capability to manage claims independently without an internal mentor.

• Current HIPAA certification.

• Extensive knowledge of the complete billing lifecycle: claims management, payment posting, denials, collections, and accounts receivable.

• Strong grasp of behavioral health CPT coding, ICD-10 coding, insurance terminology, and payer guidelines.

• Outstanding customer service, phone, and communication skills; must be professional and compassionate when discussing financial matters.

• Excellent analytical, organizational, and problem-solving abilities; comfortable managing the entire cycle independently.

• Proficient in Excel and PowerPoint, able to create AR aging, clean claim rate, and denial trend reports.

🏝️ Benefits

• 100% REMOTE

• $50 birthday bonus

• $200 testimonial bonus

• NO TRACKER. NO PROBLEM