Billing & Revenue Cycle Specialist

🔥 3 minutes ago

🇵🇭 Philippines – Remote

💵 $7 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

✨ Revenue Cycle Specialist

🚫👨‍🎓 No degree required

👻 Ghost score 4%

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📋 Description

• Manage internal billing and collection activities for the practice • Oversee the full billing lifecycle, including claim creation, submission, investigation, corrections, adjustments, payment posting, and accounts receivable workflows • Review claims for accuracy and identify billing issues before submission • Investigate and resolve claim rejections, denials, and underpayments; submit corrected claims and appeals • Review accounts receivable aging reports to ensure timely reimbursement • Serve as liaison between the practice and external billing vendors • Manage patient balances and collection activities • Contact patients about outstanding balances and establish payment arrangements • Process patient payments and maintain accurate account balances • Reconcile payment discrepancies and research billing concerns • Maintain accurate financial documentation and patient account records • Serve as primary contact for the billing phone line • Answer patient questions about deductibles, copayments, coinsurance, eligibility, benefits, financial responsibility, balances, payment plans, statements, and charges • Provide billing statements, itemized receipts, and payment histories • Explain billing information clearly, professionally, and compassionately • Resolve patient billing concerns and escalate complex issues • Monitor and report revenue cycle metrics, including days in accounts receivable, AR aging, clean claim rate, claim creation and submission lag, payment posting timeliness, and patient collection performance • Maintain compliance with HIPAA, payer guidelines, and applicable federal and state regulations • Ensure billing documentation supports medical necessity and payer requirements • Collaborate with administrative staff and practice leadership to resolve billing concerns and improve processes

🎯 Requirements

• Minimum 2 to 3 years of medical billing and revenue cycle experience • Experience with eClinicalWorks (eCW) • Comprehensive knowledge of the full medical billing lifecycle, including claims management, payment posting, denials, collections, and accounts receivable • Experience working with commercial insurance plans and Medicare Part B • Strong understanding of CPT coding and ICD-10 coding • Exceptional customer service and communication skills, with the ability to discuss financial matters professionally and compassionately • Strong analytical, organizational, and problem-solving skills • Ability to work independently, manage multiple priorities, and maintain a high degree of accuracy • Behavioral health or mental health billing experience • Full-time role • 100% remote

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