Medical Biller, AR Insurance Collections

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🏄 California – Remote

🏄 California – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

📞 Collections

🚫👨‍🎓 No degree required

👻 Ghost score 12%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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MODENA

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

👥 B2C

Healthcare • B2C

Modena is a regional healthcare provider focused on allergy, immunology and respiratory care. With multiple clinic locations across Southern California and Arizona, Modena Health offers diagnostic testing and specialized treatments for allergies, asthma, chronic sinusitis, nasal polyps, inflammatory/eosinophilic diseases, immune disorders and pediatric pulmonology. Services highlighted include oral immunotherapy (OIT), sublingual OIT, low-dose immunotherapy, allergy testing, blood testing, and ongoing patient support. The organization is led by founder Brian Modena, MD, MSc, and staffed by board-certified allergists/immunologists, pediatric specialists and respiratory clinicians; the practice also mentions involvement in clinical research and applications of AI, genetics and the microbiome to personalize care.

📋 Description

• Follow up on outstanding insurance claims with commercial payers, Medicare, Medicaid, and managed care organizations • Investigate and resolve denied, rejected, and underpaid claims related to allergy and asthma services • Submit claim corrections, reconsiderations, and appeals with appropriate documentation • Review Explanation of Benefits (EOBs), Electronic Remittance Advice (ERA), and payer correspondence • Monitor aging reports and prioritize accounts for collection activities • Verify patient eligibility, benefits, referrals, and authorization requirements • Ensure accurate reimbursement for allergy testing, immunotherapy injections, pulmonary function testing, biologic medications, and other specialty services • Collaborate with providers, clinical staff, and front-office personnel to resolve billing discrepancies • Document collection efforts and account activity in the practice management system • Maintain compliance with HIPAA, payer guidelines, and company policies • Identify billing trends, recurring denials, and process improvement opportunities • Meet established productivity and collection goals • Maintain timely follow-up on assigned accounts receivable • Achieve collection and productivity targets • Reduce claim denials and improve reimbursement turnaround times • Ensure accurate and compliant billing practices

🎯 Requirements

• High school diploma or equivalent required • Minimum 2 years of medical billing and insurance collections experience, preferably in an Allergy & Asthma, Pulmonary, ENT, or specialty physician practice • Knowledge of medical terminology, CPT, ICD-10-CM, and HCPCS coding • Experience with insurance follow-up, denial management, and appeals • Familiarity with Medicare, Medicaid, commercial insurance plans, and prior authorization processes • Proficiency with EMR and practice management systems • Strong analytical, organizational, and problem-solving skills • Excellent verbal and written communication skills • Dedicated, secure, and distraction-free workspace • Reliable high-speed internet connection • Ability to maintain confidentiality and comply with HIPAA requirements while working remotely • Ability to manage workload independently while collaborating effectively with a remote team • Availability to work Monday through Friday, 8:00 a.m. to 4:30 p.m. Pacific Time • Certified Professional Biller (CPB) or related certification is a plus • Experience billing for allergy testing, immunotherapy, biologic injections, and respiratory-related procedures is preferred • Understanding of payer-specific reimbursement policies for allergy and asthma services is preferred

🏖️ Benefits

• Competitive compensation • Professional development opportunities • Medical insurance • Dental insurance • Vision insurance • 401(k) retirement plan with employer matching • Paid time off (PTO) • Sick time • Floating holidays • Holiday pay • Supportive, mission-focused culture • Opportunity to shape the future of a thriving allergy and asthma practice

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