Medical Billing Specialist (ENG)

Overview The Medical Billing Specialist plays a critical role in managing the complete billing cycle, including Revenue Cycle Management (RCM) and Accounts Receivable (A/R). This role ensures efficient billing operations by handling claims, investigating denials, and performing end-to-end billing tasks to optimize revenue for healthcare practices. Key Responsibilities End-to-End Revenue Cycle Management (RCM): Oversee the entire billing cycle from claims submission to final reimbursement, ensuring each step is accurately and efficiently managed. Accounts Receivable (A/R) Collections: Track and manage unpaid bills, performing follow-ups on outstanding claims and resolving collection issues to maximize revenue. Claims Denial Investigation and Resolution: Investigate denied claims, identify errors or required corrections, and resubmit claims with appropriate adjustments. Claims Resubmission and Correction: Manage backend tasks related to claim resubmission, verifying accuracy, and implementing corrections as needed to avoid delays in reimbursement. Documentation and Compliance: Ensure all billing activities are documented by regulatory standards and compliance requirements, including HIPAA. Qualifications Proven experience in medical billing with exposure to RCM and A/R processes. Experience with claim denial management and collections processes. Proficiency in English communication, both written and verbal. Proficient in virtual office tools, EHR systems, and communication platforms. Strong customer service and critical thinking skills. Understanding of HIPAA regulations and the importance of patient data confidentiality. Strong problem-solving skills and ability to work with minimal supervision. Willingness to work in US time zones (PST, EST, CST). High school diploma or equivalent. System and Work Setup Requirements Internet : Minimum speed of 25 Mbps or higher, with a reliable backup connection available in case of power outages or service provider issues. Processor : Intel Core i5 7th Generation or higher (or equivalent). Memory : 8 GB RAM. Storage : 256 GB SSD or HDD with at least 50% free space available. Webcam : 720p resolution or higher. Operating System : Windows 10 or later (or equivalent). Audio Equipment : Noise-canceling earphones or headset. Workspace : A designated, quiet, and organized workspace free from distractions to ensure productivity and focus. Benefits Permanent remote work setup Competitive starting rate paid in USD Internet Allowance HMO insurance (PH) Retirement Fund Paid US holidays Paid Vacation and Sick Leaves #J-18808-Ljbffr