Medical Biller
薪资范围：每月1500美元至2000美元时间表：早上8点到晚上5点 ESTM-F. 一小时休息12点-12点关键责任医疗收费和索赔管理 · 每天准备，审查并提交大量的保险索赔。·通过支付发布和账户后续来管理整个收费工作流程。·向清算机构准确地提交索赔，确保及时处理。·监测索赔状况并积极解决收费问题。拒绝与收入周期管理 ·从开始到结束调查，提出诉讼，并解决拒绝和拒绝索赔。· 保持对福利协调 (COB) 的强有力的了解，以确保准确的索赔处理。·根据付款人要求和临床文档，正确地应用 CPT 和 HCPCS 修改器。· 在多个商业和政府支付者中确保遵守保险付款人的指导方针。通信与患者支持。· 专业地与医疗保健提供商沟通有关文件和账单问题。·协助病人或家长/监护人员进行账单查询和帐户余额。·通过电话收集支付并建立支付安排，同时为客户提供优质服务。要求需要资格。· 医疗费用编程的实践经验，有管理高额索赔记录。· 在保险清算机构提交索赔的强大经验。· 在解决索赔拒绝和拒绝到付款方面取得了成功证明。· 对福利协调 (COB) 的全面了解。· CPT/HCPCS 编码修改器及其适当应用的强大的知识。· 对于多支付者之间的保险纳税人指导方针和计票要求的坚实的理解。· 识别账单问题，纠正索赔并以最小监督重新提交这些问题的能力。·经验管理医疗费用支付的整个生命周期，从申请提交到支付发布和收取。·强大的分析，组织和解决问题的技能。·在快速发展环境中同时独立工作的能力。优先资格 ·使用 AdvancedMD （强烈偏好）的经验。·与提供商直接沟通有关文件和账单问题。·帮助患者或家长/监护人处理账单问题的经验。
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Salary Range: $1500 - $2000 per month
Schedule: 8 am - 5 pm EST M-F. One hour break 12-1 pm
Key Responsibilities
Medical Billing & Claims Management
- Prepare, review, and submit a high volume of insurance claims daily.
- Manage the full billing workflow from claim creation through payment posting and account follow-up.
- Submit claims accurately to clearinghouses and ensure timely processing.
- Monitor claim status and proactively resolve billing issues.
Denials & Revenue Cycle Management
- Investigate, appeal, and resolve claim rejections and denials from start to finish.
- Identify billing errors, make necessary corrections, and promptly resubmit claims.
- Maintain a strong understanding of Coordination of Benefits (COB) to ensure accurate claim processing.
- Apply CPT and HCPCS modifiers correctly based on payer requirements and clinical documentation.
- Ensure compliance with insurance payer guidelines across multiple commercial and government payers.
Communication & Patient Support
- Communicate professionally with healthcare providers regarding documentation and billing questions.
- Assist patients or parents/guardians with billing inquiries and account balances.
- Collect payments over the phone and establish payment arrangements while providing excellent customer service.
Requirements
Required Qualifications
- Extensive hands-on experience in medical billing with a proven track record of managing high claim volumes.
- Strong experience submitting claims to insurance clearinghouses.
- Demonstrated success resolving claim rejections and denials through to payment.
- Thorough understanding of Coordination of Benefits (COB).
- Strong knowledge of CPT/HCPCS coding modifiers and their appropriate application.
- Solid understanding of insurance payer guidelines and billing requirements across multiple payers.
- Ability to identify billing issues, correct claims, and resubmit them with minimal supervision.
- Experience managing the complete medical billing lifecycle from claim submission through payment posting and collections.
- Strong analytical, organizational, and problem-solving skills.
- Ability to work independently while managing multiple priorities in a fast-paced environment.
Preferred Qualifications
- Experience using AdvancedMD (strongly preferred).
- Experience communicating directly with providers regarding documentation and billing issues.
- Experience assisting patients or parents/guardians with billing questions.
- Comfortable collecting payments by phone and establishing payment plans.
- Experience working with multiple insurance carriers and specialty practices.
What We're Looking For
The ideal candidate has been deeply involved in every aspect of the medical billing process—not someone whose recent experience has been limited to supervising a billing team. You should have a comprehensive understanding of the entire revenue cycle, be able to troubleshoot billing challenges independently, and consistently keep claims moving efficiently from submission through reimbursement.
If you're detail-oriented, proactive, and thrive in a fast-paced billing environment, we'd love to hear from you.
Originally posted on Himalayas