Responsible for managing the full cycle of healthcare billing and revenue cycle activities, including claims processing, accounts receivable follow-up, payment posting, coding, reconciliation, denial management, and reimbursement.
The role supports operational excellence through accurate billing, efficient reimbursement, and strong payer communication. Work is scheduled Monday through Friday, 8:00 AM to 5:00 PM Central Time, with occasional weekends as needed. Candidates must reside in the U.S.
Key duties include:
- Review and submit insurance claims accurately and on time.
- Verify patient demographics, insurance eligibility, authorizations, and billing information.
- Post patient and insurance payments, including EFTs and electronic remittances.
- Review and process EOBs and ERAs to ensure accurate payment application.
- Research and resolve denied, unpaid, or underpaid claims.
- Follow up with insurance carriers regarding outstanding accounts receivable balances.
- Navigate payer portals to verify claim status and obtain remittance details.
- Maintain detailed account documentation and reconciliation records.
- Collaborate with billing, coding, analyst, and payment posting teams to improve efficiency.
- Identify reimbursement trends and recommend process improvements.
- Maintain HIPAA, PHI, and CMS compliance standards.
- Provide professional communication and customer service to patients, providers, insurance carriers, and internal departments.
Requirements & Qualifications
- 3–5 years of experience in healthcare billing, accounts receivable, payment posting, or revenue cycle operations preferred.
- Experience with Medicare, Medicaid, managed care, and commercial insurance billing.
- Strong understanding of EOBs, ERAs, CPT, ICD-10, HCPCS, modifiers, and denial management.
- Experience using insurance portals and EDI tools such as Availity, Optum, Payspan, or similar systems.
- Strong analytical, organizational, and problem-solving skills.
- Ability to multitask and work effectively in a fast-paced healthcare environment.
- Proficiency in Microsoft Office, especially Excel and Outlook.
- Strong written and verbal communication skills.
- High school diploma or equivalent required.
Benefits & Perks
- Medical insurance
- Vision insurance
- Dental insurance
- 401(k)
- Pension plan
- Paid maternity leave
- Disability insurance
Location
N/A
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
1 week ago
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