Medical Biller – Full Cycle Revenue Cycle Management, Internal Medicine, Pediatrics

🔥 0 minutes ago

🇵🇭 Philippines – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 22%

infoinfo
Apply Now
Find Similar Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Logo of Staffing For Doctors

Staffing For Doctors

11 - 50 employees

Founded 2025

🏥 Healthcare

🤝 B2B

🎯 Recruiter

Healthcare • B2B • Recruitment

Staffing For Doctors is a U. S. -based staffing service that places HIPAA-trained, specialty-matched virtual medical assistants and related clinical support staff for medical practices. Their remote team members handle scheduling, EHR documentation and charting, prior authorizations, patient communication, and other administrative/clinical tasks across dozens of specialties; hires are presented quickly (matched in 24 hours and live/onboarded within ~48 hours) at a flat $14/hr rate with no long-term contracts. The company emphasizes compliance and data security (HIPAA-trained staff, SOC 2 certified, BAA included, 256-bit SSL), white-glove onboarding via a dedicated customer success manager, and serves practices through a portal and demo/onboarding process.

📋 Description

• Manage the complete revenue cycle for an Internal Medicine and Pediatrics practice with Obesity Medicine and Nutrition subspecialties • Review charges and claims for billing accuracy and validate CPT, HCPCS, and ICD-10 coding • Submit clean electronic claims, monitor clearinghouse statuses, and correct and resubmit rejected claims • Post insurance EOBs/ERAs and patient payments accurately and balance posting logs daily • Investigate denial codes, resolve root causes, resubmit claims, and prepare appeal packages with clinical documentation • Track appeals through resolution and recommend workflow changes based on recurring denial patterns • Work aging reports for unpaid or underpaid claims and contact payers to resolve balances • Manage patient statements, payment plans, collection inquiries, and resolution documentation in the EMR • Verify insurance eligibility, deductibles, copays, coinsurance, network status, and coordination of benefits • Identify services, procedures, and medications requiring prior authorization and submit supporting documentation • Track authorization requests, maintain expiration dates, and handle authorization-related appeal escalations • Monitor electronic faxes for payer determinations, authorization approvals, and claim correspondence; route and document paperwork in eClinicalWorks • Handle inbound and outbound billing calls with payers and patients using the Telzio VOIP system

🎯 Requirements

• Minimum of 3+ years of hands-on, full-cycle U.S. medical billing and RCM experience • Extensive background in claim submissions, A/R follow-up, payment posting, complex denial/appeals workflows, patient collections, and eligibility/prior auths • Strong proficiency with standard CPT, HCPCS, ICD-10 coding, and modifier usage • Exceptional written and spoken English skills; comfortable calling insurance representatives and speaking with patients • Thorough understanding of HIPAA regulations, patient privacy laws, and medical records handling • Recent, hands-on experience using eClinicalWorks (eCW), with minimal system-specific training • Billing experience in Internal Medicine, Pediatrics, or specialized Obesity Medicine / Weight Management / Nutrition practices • Prior success securing approvals and managing denials for weight-management and chronic disease medications • Familiarity with Telzio VOIP or similar softphone applications and digital fax management workflows

Apply Now