Medical Billing & Accounts Receivable Specialist

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

📋 Description

• Follow up on pending insurance claims to ensure prompt reimbursement.

• Handle denied and rejected claims, implementing necessary corrective measures.

• Prepare and file claim appeals when required.

• Investigate claim-related issues to determine root causes of payment delays or denials.

• Manage and maintain accounts receivable reports for 60, 90, and 120-day periods.

• Monitor and report on outstanding accounts receivable balances.

• Correct billing-related CPT and diagnosis code issues as needed.

• Keep accurate spreadsheets and accounts receivable tracking reports.

• Collaborate with the current billing and account management team.

• Ensure compliance with HIPAA regulations and maintain billing accuracy at all times.

⛳️ Requirements

• A minimum of 3 years of experience in U.S. medical billing.

• Extensive experience in denial management and appeals.

• Demonstrated experience in accounts receivable follow-up.

• Background working with Medicare, Medicaid, and commercial insurance payers.

• Knowledge of CPT, ICD-10, and healthcare billing processes.

• Excellent written and verbal communication skills in English.

• Ability to work full-time during EST hours.

• Dependable remote work environment.

• Direct experience with Medent Practice Management is highly preferred.

• Familiarity with PracticeQ and/or Tebra.

• Experience in ophthalmology, multi-specialty, or physician practice billing.

• Proficient in generating and analyzing accounts receivable reports.

• Strong attention to detail and problem-solving abilities.

🏝️ Benefits

• Remote work setup.

• Opportunities for career advancement.

• Supportive team-oriented environment.