Medical Biller – Full-Cycle

🕒 3 days ago

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RCM Staff LLC

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2024

🏥 Healthcare

🎯 Recruiter

🤝 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

• Enter charges and review CPT/HCPCS codes and modifiers against documentation before claims are released • Prepare and submit clean claims to payers and clearinghouses, and correct front-end rejections promptly • Post insurance and patient payments from ERAs and EOBs, reconcile deposits, and flag underpayments and variances • Work accounts receivable aging reports and follow up with payers on unpaid or delayed claims through to resolution • Research and resolve denials, correct and resubmit claims, and prepare appeals with supporting documentation • Initiate, submit, and track prior authorizations and re-authorizations, monitoring authorized units/visits against those used • Handle behavioral health billing, including telehealth claims, session and unit limits, and payer-specific authorization rules • Generate patient statements and respond to patient billing inquiries • Document all actions, claim status, and notes accurately in Practice Fusion • Protect patient information and follow HIPAA requirements

🎯 Requirements

• At least 2 years of experience in U.S. medical billing / revenue cycle • Experience using Practice Fusion • Hands-on experience across the full cycle: charge entry, claim submission, payment posting, A/R follow-up, denial management, and prior authorization • Experience with behavioral health billing and payer authorization requirements • Working knowledge of CPT, HCPCS, and ICD-10 codes and modifiers • Familiarity with commercial insurance and government health plans (Medicare and Medicaid) • Experience using payer portals, clearinghouses, and insurance websites • Strong written and spoken English • Excellent attention to detail and follow-up skills • Ability to work independently and manage multiple accounts • Reliable internet connection and a suitable remote workspace

🏖️ Benefits

• Health insurance • Flexible work arrangements • Professional development opportunity