Revenue Cycle Support Specialist – Biller/Coder

Vaga não está no LinkedIn

🕒 Julho 20

🇺🇸 Estados Unidos – Remoto (EUA)

⏳ Contrato/Temporário

🟡 Pleno

🟠 Sênior

💝 Suporte ao Cliente

👻 Score fantasma 39%

infoinfo

🗣️🇺🇸🇬🇧 Inglês obrigatório

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Logo of HelpSquad

HelpSquad

51 - 200 funcionários

Fundada em 2014

🏥 Saúde

🤝 B2B

🏢 Corporativo

💰 $500.000 Angel Round - HelpSquad Health em 2015-05

Healthcare • B2B • Enterprise

A HelpSquad é uma fornecedora gerida nos EUA, em conformidade com a HIPAA, de assistentes médicos virtuais e serviços de BPO na área de saúde. Ela oferece equipes remotas treinadas e avaliadas para agendamentos, admissão de pacientes, verificação de seguros, autorizações prévias, faturamento médico e gestão do ciclo de receita, suporte de call center (incluindo 24/7 e fora do horário comercial), escrita médica e sistemas de suporte e conhecimento ao paciente habilitados por inteligência artificial. A HelpSquad oferece equipes gerenciadas, serviços de revenda com marca própria e suporte especializado para consultórios e organizações que vão desde clínicos solo até grupos médicos com várias localizações, sistemas hospitalares, consultórios odontológicos, saúde comportamental e cuidado domiciliar; enfatizando conformidade (BAA assinado a nível da empresa), avaliação de qualidade e supervisão sediada nos EUA.

Descrição

• A growing primary care practice adding a full-cycle billing and coding team to reduce a significant backlog of outstanding claims and keep up with a high daily claim volume going forward. • This is a full end-to-end Revenue Cycle Management (RCM) role, not a single-function billing position. You will own claims from creation through payment, working directly in Athena. • Help flag recurring payer-specific denial patterns. • Follow up with payers on unpaid, denied, or underpaid claims — by phone and payer portal. • Answer patient calls regarding balances and billing statements.

🎯 Requisitos

• Athena EHR experience is mandatory. This is a plug-and-play requirement — there is no runway to train someone on the platform itself. • 3+ years of full-cycle medical billing experience (VOB, claims submission, denial management, payer follow-up, corrected claims) • Working knowledge of CPT and ICD-10 coding and modifiers (certification not required) • Experience working denials and appeals across a range of payer types: Medicare, Medicaid, Medicaid Advantage, UHC, and commercial plans • Demonstrated experience taking patient-facing billing calls in English, with clear, professional, easily understood communication — this candidate will speak directly with US patients about their bills, not only with insurance company reps • Comfortable managing high claim volume independently; able to speak to your own production rate (claims worked per day) from a past role • Preferred Primary care, home health, or similarly complex specialty billing background • Experience with Athena’s Hold/Manager Hold queue workflows specifically • History of catching and fixing recurring payer denial patterns before they recur • Dedicated, quiet home workspace with backup power and verified wired internet (backup connection required, not hotspot-only) • Windows 11 or latest macOS • Full availability during assigned US business-hours shift

🏖️ Benefícios

• Competitive hourly rate • On-time payments, every time • Payments processed via Wise • Direct client training provided — you are never thrown in blind • HIPAA certification provided at no cost to you • Dedicated Account Manager as your point of contact • Clear escalation paths — you always know who to go to • 100% remote — work from home • U.S.-based company with structured operations • Stable, long-term account placements (not gig-style work) • Supportive team culture across all accounts • Build your U.S. industry experience • Exposure to multiple practice types and platforms • Potential for increased hours or additional accounts based on performance • Strengthen your resume with verified, legitimate U.S. client experience • Tenure recognition for long-term team members • We value loyalty and recognize those who grow with us

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