Medical Biller

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

📋 Description

• Oversee the entire revenue cycle process for designated medical practices.

• Submit, track, and manage insurance claims using Athenahealth.

• Conduct accounts receivable follow-up and collection efforts.

• Examine claim denials, investigate root causes, submit appeals, and rectify reimbursement discrepancies.

• Review aging reports and prioritize pending receivables.

• Communicate with insurance carriers regarding claim statuses and payment discrepancies.

• Document billing activities while maintaining precise billing records and reports.

• Share insights on billing performance and opportunities for process improvement with leadership.

• Assist in workflow distribution and work collaboratively with offshore billing teams.

• Provide customer service support to physicians and practice stakeholders.

• Manage multiple physician practices and prioritize tasks across client accounts.

• Develop and enhance internal RCM processes, tools, and workflows as the department expands.

⛳️ Requirements

• 3–5 years of experience in medical billing and revenue cycle management within a healthcare environment.

• Practical experience with Athenahealth for medical billing and claims management.

• Familiarity with primary care practices and knowledge of primary care billing workflows.

• Proven experience in accounts receivable follow-up, collections, payment posting, and insurance verification.

• Background in investigating claim denials, submitting appeals, and resolving insurance reimbursement challenges.

• Experience in supporting offshore billing teams or coordinating efforts with offshore resources.

• Proficiency in medical claims, invoicing, insurance processes, and data entry related to healthcare billing.

• Excellent communication skills with physicians, practice staff, and insurance carriers.

• Ability to work independently and effectively in a remote setting.

• Experience supporting various physician practices and managing priorities across multiple client accounts.

• Strong organizational skills with a keen eye for detail in documentation and record management.

• Experience in a rapidly growing healthcare organization and adaptability to changing processes.

• Familiarity with Tebra, Charm Health, and AdvancedMD.

• Experience with HubSpot and Zendesk.

• Ability to contribute to operational strategy and scalability within an internal RCM department.

• Comfort working collaboratively with both onshore and offshore team members in a distributed environment.

• Standard working hours are from 9:00 a.m. to 5:00 p.m. EST.

🏝️ Benefits

• Medical, dental & vision coverage.

• Critical Illness, Accident, and Hospital insurance.

• 401(k) Retirement Plan – Options for pre-tax and Roth post-tax contributions available.

• Life Insurance (Voluntary Life & AD&D for the employee and dependents).

• Short and long-term disability coverage.

• Health Spending Account (HSA).

• Transportation benefits.

• Employee Assistance Program.

• Paid Time Off/Leave (PTO, Vacation, or Sick Leave).

• Long-term contract-to-hire opportunity.