Medical Billing Specialist, Chirotouch

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

📋 Description

• Review aging reports and follow up on claims that remain unpaid for 30 days or longer after submission.

• Contact payers via phone, portals, and websites to verify claim status and seek resolutions.

• Analyze denials and remittance codes (CARC/RARC) to determine underlying causes.

• Prepare and submit corrected claims, reconsiderations, and written appeals along with supporting documentation.

• Monitor appeals until final decisions are reached and escalate cases with nonresponsive payers.

• Handle denied exam and evaluation claims, addressing modifier and medical necessity issues.

• Identify recurring denial patterns and report them to the practice for necessary front-end adjustments.

• Document all follow-up activities in the practice management system.

• Safeguard patient information and comply with HIPAA regulations.

⛳️ Requirements

• Minimum of 2 years of experience in U.S. healthcare insurance accounts receivable follow-up and denial management.

• Chiropractic billing experience is mandatory.

• Proven experience in writing and submitting appeals and reconsiderations.

• Familiarity with commercial insurance and government health plans is required.

• Experience utilizing payer portals and insurance websites.

• Strong proficiency in written and spoken English.

• Exceptional attention to detail and follow-up capabilities.

• Ability to work independently while managing multiple patient accounts.

• A reliable internet connection and an appropriate remote work environment are essential.

• Experience with ChiroTouch is preferred.

• Knowledge of Idaho insurance plans, such as Blue Cross of Idaho and Regence BlueShield of Idaho, is preferred.

• Familiarity with chiropractic coding rules, including CMT codes 98940 to 98942, modifier 25 for same-day exams, the AT modifier for Medicare, and therapy codes for ultrasound, electrical stimulation, and massage is preferred.

• Experience with non-covered services, including decompression and cold laser, is preferred.

• Must be available during Mountain Time business hours.

🏝️ Benefits

• Opportunity to transition to a full-time position based on performance and practice requirements.

• Flexible remote work arrangement.

• Part-time schedule of 20 hours per week.

• Work schedule aligned with Mountain Time business hours.