Medical Biller, RCM Specialist

🔥 1 hour ago

🇵🇭 Philippines – Remote

⏱ Part Time

🟡 Mid-level

🟠 Senior

✨ Medical Biller

Where this job comes from

Posted on Staffing For Doctors's careers page, not through a job board

First seen by Remote Rocketship 1 hour ago

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

• Audit and monitor daily submissions from the external third-party medical billing company • Cross-reference OnlyMD EMR encounters against filed claims to identify unbilled encounters, coding errors, and dropped tasks • Investigate approximately 90 days of pending billing and 500+ unsubmitted encounters • Communicate with payors and the billing agency to resolve claim rejections and denials • Maintain billing tracking logs and resolve patient insurance eligibility discrepancies in OnlyMD • Provide Dr. Mann with weekly accounts-receivable recovery reports • Track claim transmission cadence and flag systematic vendor errors or delays • Audit CPT/ICD-10 coding for behavioral health encounters, therapy sessions, and psychiatric evaluations • Identify root causes of unpaid, rejected, or unsubmitted claims and execute corrective actions, appeals, and resubmissions • Navigate California medical billing regulations, county/state paperwork, and commercial/government payor guidelines • Document billing workflows and prepare the practice to transition all billing operations in-house

🎯 Requirements

• 3+ years medical billing and coding experience, including AR follow-up, claims auditing, denial management, and medical revenue cycle management (RCM) • Direct mental/behavioral health billing experience, including psychiatric CPT codes, pre-authorizations, and behavioral health payor rules • Familiarity with California state billing rules, California payor guidelines, and local paperwork/credentialing requirements • Experience auditing external billing vendors, tracking missing encounters, and monitoring billing metrics • Ability to work part-time (~20 hours/week) on a flexible schedule within 10:00 AM–7:00 PM PST, with full availability to transition to 40 hours/week full-time • Dedicated, private, quiet HIPAA-compliant home office • High-performance PC or Mac, high-speed internet, backup internet/power solutions, and a headset • Hands-on OnlyMD EMR & Billing System or comparable integrated EMR/billing system experience preferred • Experience transitioning a clinic from outsourced billing to in-house billing preferred

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