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.

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

• Address claim issues that influence reimbursement outcomes.

• Conduct accounts receivable follow-up and engage in collections efforts.

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

• Analyze aging reports and prioritize outstanding receivables effectively.

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

• Maintain accurate billing records and reports while documenting billing activities.

• Provide insights on billing performance, operational challenges, and potential process improvements to leadership.

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

• Deliver customer service support to physicians and practice stakeholders.

• Manage priorities across multiple physician practices and client accounts.

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

• Primarily utilize Athenahealth, with potential use of Tebra, Charm Health, AdvancedMD, HubSpot, and Zendesk.

⛳️ 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 their billing workflows.

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

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

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

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

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

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

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

• Strong organizational skills with a keen eye for documentation and record-keeping.

• Experience in a rapidly growing healthcare organization, adapting to changing processes.

• Knowledge of Tebra, Charm Health, and AdvancedMD.

• Experience with HubSpot and Zendesk.

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

• Comfortable collaborating 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.

• Position is based in New York, NY.

🏝️ 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 dependents.

• Short-term 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 pathway.

• Opportunity to significantly influence operational strategy and scalability.

• Fully remote work environment.