Medical Biller

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

📋 Description

• Oversee the complete revenue cycle process for designated medical practices, ensuring precise and timely billing and collections.

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

• Address claim issues that affect reimbursement.

• Conduct accounts receivable follow-up and collections activities to minimize aging balances and enhance cash flow.

• Investigate claim denials, analyze root causes, submit appeals, and resolve reimbursement inconsistencies.

• Review aging reports and prioritize outstanding receivables based on risk and impact.

• Communicate with insurance carriers to verify claim statuses and clarify payment discrepancies.

• Document billing activities and maintain precise billing records and reports.

• Share insights on billing performance, operational challenges, and opportunities for process improvements with leadership.

• Assist in workflow distribution and collaborate with offshore billing teams.

• Provide customer service support to physicians and practice stakeholders regarding billing inquiries.

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

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

⛳️ Requirements

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

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

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

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

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

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

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

• Experience managing multiple physician practices and prioritizing tasks across various client accounts.

• Experience in a growing, high-growth healthcare organization and adaptability to changing processes.

• Familiarity with Tebra, Charm Health, and AdvancedMD.

• Experience with HubSpot and Zendesk.

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

• Strong organizational skills with a keen attention to documentation and record-keeping.

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

• Standard working hours of 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 with both pre-tax and Roth post-tax contribution options.

• Voluntary Life Insurance & AD&D for employees and their 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).

• Pathway to contract-to-hire opportunities.

• Fully remote work environment.