Virtual Medical Billing and RCM specialist
About this role
About the Role:
We are seeking an experienced and detail-oriented Virtual Medical Biller to manage the complete revenue cycle for family practice and primary care physician accounts. In this remote role, you will oversee day-to-day medical billing operations to maximize collection rates, minimize accounts receivable (A/R) days, and ensure accuracy across all patient billing lifecycles.
Requirements
Key Responsibilities:
1. End-to-End Revenue Cycle Management: Manage the full medical billing cycle from patient registration and insurance verification to charge entry, claim submission, and payment posting.
2. Claims Scrubbing & Submission: Ensure electronic claims are meticulously reviewed and scrubbed prior to submission to reduce initial rejection and denial rates.
3. Denials Management & Appeals: Proactively track, analyze, and appeal denied or rejected claims with commercial payers, Medicare, and Medicaid.
4. Accounts Receivable (A/R) Follow-Up: Regularly work aging reports, follow up on unpaid claims, and resolve billing discrepancies with insurance carriers.
5. Patient Billing & Support: Handle patient billing inquiries, set up payment plans, and assist with financial clearance when necessary.
6. Compliance & Accuracy: Ensure all billing practices comply with HIPAA regulations, payer guidelines, and coding standards.
Qualifications & Requirements:
- Experience: Minimum of 2 years of dedicated medical billing experience specializing in full revenue cycle management.
- Specialty Experience: Proven track record working with Family Practice or Primary Care physician practices.
- EMR/EHR Proficiency: Hands-on experience and deep familiarity with Athenahealth and/or AdvancedMD electronic medical record systems.
- Technical Skills: Strong understanding of ICD-10, CPT, and HCPCS coding, medical terminology, and insurance verification workflows.
- Communication & Organization: Excellent written and verbal communication skills, with the ability to work independently in a remote virtual environment.
- Reliable and able to commit long term for this role.
Originally posted on Himalayas
