Medical Biller, Claims Processing – Patient Support Representative

This is a fully remote position, open to applicants in Arizona, +4 more states.

📋 Description

• Collect medical claims from healthcare providers or patients.

• Assess claims based on specific program business rules.

• Decide whether claims should be approved or denied.

• Offer assistance for customer inquiries through phone, email, fax, or other communication methods.

• Provide management with recommendations for addressing operational issues.

• Must be able to work 40 hours per week (available shift: 10:00am - 7:00pm ET).

⛳️ Requirements

• High School Diploma or equivalent qualification.

• Experience in processing claims.

• Medical Billing Certification is required.

• Coding Certification is required.

• Ability to understand Explanation of Benefits (EOB).

• Must be HIPAA certified.

• Customer Service experience is preferred.

• Experience as a Pharmacy Technician is preferred.

• Bilingual (English/Spanish) is preferred.

🏝️ Benefits

• Health insurance.

• Retirement plans.

• Professional development opportunities.

• Paid time off.

• Options for remote work.