Revenue Cycle Support Specialist – Biller/Coder

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

📋 Description

• A rapidly expanding primary care practice is looking to establish a full-cycle billing and coding team to address a considerable backlog of unpaid claims and maintain a high volume of daily claims management moving forward.

• This position encompasses complete Revenue Cycle Management (RCM) responsibilities, rather than being limited to a single billing function. You will oversee claims from initiation to payment, directly utilizing Athena.

• Assist in identifying recurring denial patterns specific to different payers.

• Follow up with payers regarding unpaid, denied, or underpaid claims through phone calls and payer portals.

• Respond to patient inquiries concerning balances and billing statements.

⛳️ Requirements

• Proficiency in Athena EHR is essential. This is a non-negotiable requirement — there will be no time allocated for training on the platform.

• A minimum of 3 years of full-cycle medical billing experience, including VOB, claims submission, denial management, payer follow-up, and corrected claims.

• Familiarity with CPT and ICD-10 coding and modifiers is required (certification is not necessary).

• Experience managing denials and appeals across various payer types: Medicare, Medicaid, Medicaid Advantage, UHC, and commercial plans.

• Proven experience handling patient-facing billing calls in English, with clear, professional, and easily understandable communication — this role involves direct interaction with U.S. patients about their bills, not solely with insurance representatives.

• Ability to independently manage a high volume of claims; should be able to discuss your production rate (claims processed per day) from previous roles.

• Preferred background in primary care, home health, or similarly intricate specialty billing.

• Experience with Athena's Hold/Manager Hold queue workflows specifically.

• A history of identifying and resolving recurring payer denial patterns before they become a recurring issue.

• A quiet, dedicated home workspace equipped with backup power and a verified wired internet connection (backup connectivity is required, not solely a mobile hotspot).

• Windows 11 or the latest macOS is required.

• Full availability during designated U.S. business hours is necessary.

🏝️ Benefits

• Competitive hourly wage.

• Consistent and timely payments, every time.

• Payments processed through Wise.

• Comprehensive client training provided — you will never be left unprepared.

• HIPAA certification offered at no cost to you.

• A dedicated Account Manager will be your primary contact.

• Clear escalation procedures — you will always know who to approach for assistance.

• 100% remote work — operate from the comfort of your home.

• U.S.-based company with structured operations.

• Stable, long-term account placements (not gig-based work).

• A supportive team culture across all accounts.

• Opportunity to enhance your U.S. industry experience.

• Exposure to various practice types and platforms.

• Potential for increased hours or additional accounts based on performance.

• Strengthen your resume with verified, legitimate experience from U.S. clients.

• Recognition for tenure for long-standing team members.

• We value loyalty and appreciate those who grow with us.