Medical Biller, AR Insurance Collections

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

📋 Description

• Conduct follow-ups on pending insurance claims with commercial payers, Medicare, Medicaid, and managed care organizations.

• Investigate and resolve denied, rejected, and underpaid claims associated with allergy and asthma services.

• Submit corrections, reconsiderations, and appeals for claims, accompanied by the necessary documentation.

• Review Explanation of Benefits (EOBs), Electronic Remittance Advice (ERA), and communications from payers.

• Monitor aging reports and prioritize accounts for collection efforts.

• Verify patient eligibility, benefits, referrals, and authorization prerequisites.

• Ensure accurate reimbursement for allergy testing, immunotherapy injections, pulmonary function testing, biologic medications, and other specialized services.

• Collaborate with healthcare providers, clinical staff, and front-office teams to address billing discrepancies.

• Record collection activities and account information in the practice management system.

• Adhere to HIPAA regulations, payer guidelines, and company policies.

• Identify billing trends, frequent denials, and opportunities for process enhancements.

• Meet set productivity and collection benchmarks.

• Maintain prompt follow-up on assigned accounts receivable.

• Achieve collection and productivity objectives.

• Minimize claim denials and enhance reimbursement turnaround times.

• Ensure precise and compliant billing practices.

⛳️ Requirements

• High school diploma or equivalent is mandatory.

• A minimum of 2 years of experience in medical billing and insurance collections, ideally in an Allergy & Asthma, Pulmonary, ENT, or specialty physician practice.

• Understanding of medical terminology, CPT, ICD-10-CM, and HCPCS coding.

• Experience in insurance follow-up, denial management, and appeals processes.

• Familiarity with Medicare, Medicaid, commercial insurance plans, and prior authorization procedures.

• Proficient in using EMR and practice management systems.

• Strong analytical, organizational, and problem-solving abilities.

• Excellent verbal and written communication skills.

• A dedicated and secure workspace free from distractions.

• Reliable high-speed internet connection.

• Ability to maintain confidentiality and adhere to HIPAA regulations while working remotely.

• Capacity to manage workload independently while effectively collaborating with a remote team.

• Availability to work Monday to Friday, from 8:00 a.m. to 4:30 p.m. Pacific Time.

• Certification as a Certified Professional Biller (CPB) or a related certification is advantageous.

• Experience in billing for allergy testing, immunotherapy, biologic injections, and respiratory-related procedures is preferred.

• Understanding of payer-specific reimbursement policies for allergy and asthma services is preferred.

🏝️ Benefits

• Competitive salary.

• Opportunities for professional development.

• Medical insurance coverage.

• Dental insurance.

• Vision insurance.

• 401(k) retirement plan with employer matching.

• Paid time off (PTO).

• Sick leave.

• Floating holidays.

• Holiday pay.

• A supportive and mission-driven culture.

• An opportunity to influence the future of a growing allergy and asthma practice.