Medical Biller,Medical Billing Specialist, Revenue Cycle Specialist

Position Summary

We are seeking a highly skilled and detail-oriented Medical Billing Specialist with strong experience in Revenue Cycle Management (RCM) and Accounts Receivable (AR) follow-up. The ideal candidate will be responsible for managing the full billing cycle, ensuring timely claim submission, payment posting, denial resolution, and aggressive AR follow-up to maximize reimbursements and reduce outstanding balances.

Key ResponsibilitiesMedical Billing & Claims Management

• Prepare, review, and submit accurate electronic and paper claims to insurance companies.
• Verify patient eligibility, benefits, and authorization requirements.
• Ensure proper CPT, ICD-10, and HCPCS coding accuracy.
• Monitor claim status and resolve claim rejections and denials promptly.
• Correct and resubmit denied or rejected claims.

Accounts Receivable (AR) Follow-Up

• Perform daily AR follow-up with insurance carriers for outstanding claims.
• Investigate unpaid, underpaid, or denied claims and take corrective action.
• Communicate with payers to obtain claim status and payment updates.
• Work aging reports (30/60/90/120+ days) and reduce AR backlog.
• Identify root causes of recurring denials and recommend process improvements.

Revenue Cycle Management

• Manage end-to-end revenue cycle processes.
• Post payments (EOBs/ERAs) accurately and reconcile accounts.
• Process adjustments, write-offs, and patient billing statements.
• Ensure compliance with payer contracts and reimbursement guidelines.

Patient & Provider Communication

• Respond to patient billing inquiries professionally.
• Coordinate with providers, coders, and front office staff to resolve billing issues.
• Maintain accurate documentation of all account activity.

Pay: $20.00 - $28.00 per hour

Benefits:

• 401(k)
• Health insurance
• Paid time off

Work Location: In person