Certified Medical Biller, Coder

Job not on LinkedIn

đŸ”„ 1 minute ago

đŸ‡”đŸ‡­ Philippines – Remote

⏰ Full Time

🟱 Junior

🟡 Mid-level

đŸ„ Medical Billing and Coding

đŸ‘» Ghost score 12%

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Logo of RCM Staff LLC

RCM Staff LLC

11 - 50 employees

Founded 2024

đŸ„ Healthcare

🎯 Recruiter

đŸ€ B2B

Healthcare ‱ Recruitment ‱ B2B

RCM Staff LLC is a staffing company that provides HIPAA-trained, healthcare-focused medical billers, certified coders, A/R follow-up specialists, and medical virtual assistants based in the Philippines who work directly inside U. S. clients’ existing EHRs, clearinghouses, and payer portals. The company handles recruiting, onboarding, training, and oversight while clients retain operational control; service tiers range from Core (staff augmentation) to Plus (account management and KPIs) and Executive (managed QA and continuity planning). RCM Staff targets medical billing companies, physician practices (solo, group, behavioral health, primary care), and RCM vendors, and emphasizes compliance (BAA available), AAPC-certified leadership, and 18+ years of U. S. revenue cycle experience.

📋 Description

‱ Review assigned accounts, new denials, payer correspondence and scheduled follow-ups each day, prioritizing filing deadlines, older claims and high-dollar balances ‱ Assign CPT, ICD-10-CM and HCPCS codes and modifiers from provider documentation ‱ Complete charge entry and submit clean claims through the clearinghouse ‱ Follow up on unpaid claims through payer portals and phone calls, obtaining reference numbers and expected resolution dates ‱ Identify the cause of denials and rejections, then submit corrected claims, reconsiderations and appeals before deadlines ‱ Submit requested medical records securely and keep proof of submission ‱ Review payments and balances for underpayments, posting errors and secondary insurance before transferring patient responsibility ‱ Document every account with the issue, action taken, payer response, reference number and next follow-up date ‱ Escalate unresolved accounts, approaching deadlines and recurring denial patterns to the billing team ‱ Protect patient information and follow HIPAA requirements ‱ Support U.S. medical billing companies and physician practices with end-to-end claims management

🎯 Requirements

‱ Active AAPC certification (CPB, CPC or COC); a copy of your certificate is required to be considered ‱ At least 2 years of experience with U.S. healthcare insurance billing and A/R follow-up ‱ Hands-on experience with denials, appeals, EOBs, ERAs and timely filing requirements ‱ Familiarity with commercial insurance and government health plans ‱ Experience using payer portals, clearinghouses and practice management systems ‱ Strong written and spoken English, including phone calls with U.S. insurance companies ‱ Excellent attention to detail and follow-up skills ‱ Ability to work independently and manage multiple patient accounts ‱ Reliable internet connection and a suitable remote workspace ‱ Must be available during U.S. business hours (Eastern Time) ‱ Preferred: Experience supporting a U.S. medical billing company or managing multiple practice accounts ‱ Preferred: Experience with surgical, orthopedic, gastroenterology, ASC or primary care billing and coding ‱ Preferred: Experience working through a remote desktop (RDP) environment ‱ Preferred: Experience with practice management systems such as AdvancedMD, eClinicalWorks, athenahealth or Kareo

đŸ–ïž Benefits

‱ Remote work arrangement ‱ Full-time employment ‱ Work schedule during U.S. business hours (Eastern Time)

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