Medical Billing Manager

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

📋 Description

• Review and track outstanding medical insurance claims as well as unpaid balances.

• Investigate claims that have been denied or underpaid and take necessary corrective actions.

• Engage with insurance carriers to discuss claim status, appeals, eligibility, and any payment discrepancies.

• Timely submission of corrected claims and appeals.

• Maintain precise documentation of account activities and follow-up efforts.

• Collaborate with billing, coding, and administrative teams to address claim issues.

• Identify patterns in denials and suggest process enhancements.

• Ensure adherence to HIPAA and all relevant healthcare billing regulations.

• Achieve productivity and quality benchmarks while managing multiple accounts and deadlines.

⛳️ Requirements

• Certified Professional Coder (CPC) credential is mandatory.

• Prior experience in medical billing, insurance follow-up, or revenue cycle management is preferred.

• Familiarity with EMR/EHR systems and medical billing software is essential.

• Understanding of insurance guidelines, CPT/ICD-10 coding, and payer requirements.

• Experience in managing appeals and claim denials.

• Current Employees: must have been employed by ResPro for a minimum of 6 months.

• Proficient in basic computer skills, with a strong interest and capability.

• Strong problem-solving abilities and capacity to multitask effectively.

• Excellent verbal and written communication skills.

• Strong teamwork and collaboration abilities.

• Comfortable working remotely while ensuring effective communication with team members.

• Keen attention to detail and strong organizational skills.

• Ability to work independently and manage priorities efficiently.

• A clean background check is required.

🏝️ Benefits

• Comprehensive Health Care Plan (Medical, Dental, Vision).

• Flexible Paid Time Off.