Medical Billing Manager

🔥 27 minutes ago

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ResPro Health, LLC

WebsiteLinkedInAll Job Openings

11 - 50 employees

🏥 Healthcare

🤝 B2B

Healthcare • B2B

<ResPro Health, LLC> is a specialized care management company focused on pulmonary and sleep medicine that integrates with physician practices to deliver remote patient monitoring, therapeutic management, transitional and principal care management, and clinical staffing and training. The company combines hands-on clinical teams (RNs, respiratory therapists, sleep-focused staff) with data-driven monitoring and billing/reimbursement expertise to improve patient outcomes, enhance therapy compliance, reduce hospital visits, and streamline practice operations.

📋 Description

• Review and follow up on outstanding medical insurance claims and unpaid balances • Investigate denied or underpaid claims and take corrective action as needed • Communicate with insurance carriers regarding claim status, appeals, eligibility, and payment discrepancies • Submit corrected claims and appeals in a timely manner • Maintain accurate documentation of account activity and follow-up efforts • Work collaboratively with billing, coding, and administrative teams to resolve claim issues • Identify trends in denials and recommend process improvements • Ensure compliance with HIPAA and all applicable healthcare billing regulations • Meet productivity and quality standards while managing multiple accounts and deadlines

🎯 Requirements

• Certified Professional Coder (CPC) required • Previous experience in medical billing, insurance follow-up, or revenue cycle management preferred • Familiarity with EMR/EHR systems and medical billing software • Knowledge of insurance guidelines, CPT/ICD-10 coding, and payer requirements • Experience handling appeals and claim denials • Current Employees: must have been employed by ResPro for 6 months • Proficient knowledge, skill, and interest in basic computer skills • Strong problem-solving skills with the ability to multi-task effectively • Excellent verbal and written communication skills • Excellent teamwork and collaboration skills • Comfortable working remotely while maintaining strong communication with team members • Strong attention to detail and organizational skills • Ability to work independently and manage priorities efficiently • Clean background check required

🏖️ Benefits

• Comprehensive Health Care Plan (Medical, Dental, Vision) • Flexible Paid Time Off