Revenue Cycle Support Specialist (Biller/Coder)

This is a remote position.

About the Role

A growing primary care practice adding a full-cycle billing and coding team to reduce a significant backlog of outstanding claims and keep up with a high daily claim volume going forward. This is a full end-to-end Revenue Cycle Management (RCM) role, not a single-function billing position. You will own claims from creation through payment, working directly in Athena.

We are building a team of experienced billers who also carry working coding knowledge, so claims go out clean the first time instead of bouncing back from the EHR or the payer.

What You’ll Do

Claims & A/R

Work claims within Athena’s Hold and Manager Hold queues to resolution

Create and drop new claims (this practice does not want claims sitting unbilled)

Follow up with payers on unpaid, denied, or underpaid claims — by phone and payer portal

Submit corrected claims and adjustments as needed

Track and prioritize claims approaching timely filing deadlines

Document every action taken on a claim directly in Athena

Coding Support (working knowledge, not certification required)

Review provider documentation for services or conditions that support an additional CPT code (example: a smoking cessation note during a visit should trigger an add-on code)

Apply correct modifiers

Know enough ICD-10/CPT to catch what Athena’s auto-drop feature would otherwise miss or mis-code

This is not deep home-health-level coding — it is scrubbing charts before they go out the door

Patient Account Support

Answer patient calls regarding balances and billing statements

Process secure payments over the phone in Athena

Explain billing/insurance information clearly and calmly to patients who are often confused or frustrated about their bills

Escalate complex or disputed patient concerns to the RCM Director

Reporting & Team

Provide weekly updates on claim progress, A/R status, and denial trends

Help flag recurring payer-specific denial patterns

Work independently within Athena, seeking help appropriately rather than guessing

Requirements

Athena EHR experience is mandatory. This is a plug-and-play requirement — there is no runway to train someone on the platform itself.

3+ years of full-cycle medical billing experience (VOB, claims submission, denial management, payer follow-up, corrected claims)

Working knowledge of CPT and ICD-10 coding and modifiers (certification not required)

Experience working denials and appeals across a range of payer types: Medicare, Medicaid, Medicaid Advantage, UHC, and commercial plans

Demonstrated experience taking patient-facing billing calls in English, with clear, professional, easily understood communication — this candidate will speak directly with US patients about their bills, not only with insurance company reps

Comfortable managing high claim volume independently; able to speak to your own production rate (claims worked per day) from a past role

Preferred

Primary care, home health, or similarly complex specialty billing background

Experience with Athena’s Hold/Manager Hold queue workflows specifically

History of catching and fixing recurring payer denial patterns before they recur

Logistics Requirements

Dedicated, quiet home workspace with backup power and verified wired internet (backup connection required, not hotspot-only)

Windows 11 or latest macOS

Full availability during assigned US business-hours shift

What Success Looks Like in 90 Days

Fully independent in Athena with no ramp-up needed

Clearing an assigned share of the current claims backlog while keeping pace with new daily claim volume

Clean claim submissions with minimal EHR/payer kickbacks

Patients who call in leave the conversation with an accurate, clearly explained answer

Technical Requirements:

*Internet speed: Minimum 50 Mbps upload and download (wired connection strongly preferred).

*A verified backup internet connection is required — mobile phone hotspots are not acceptable as backup.

*Dedicated wireless dongles or secondary ISP connections are acceptable backup solutions.

*Backup power source required (UPS or generator) to maintain connectivity during outages.

*Quiet, professional workspace suitable for voice work — free from background noise and interruptions.

*Reliable computer with sufficient processing power to run software systems and softphone simultaneously.

*You must have Windows 11 or the most recent Apple OS / Update

Benefits

What We're Looking For

* Professional and patient-focused attitude

* Dependable and punctual

* Strong problem-solving skills

* Friendly, empathetic, and customer-service oriented

Benefits

Compensation & Payments

Competitive hourly rate

On-time payments, every time

Payments processed via Wise

Training & Support

Direct client training provided — you are never thrown in blind

HIPAA certification provided at no cost to you

Dedicated Account Manager as your point of contact

Clear escalation paths — you always know who to go to

Work Environment

100% remote — work from home

U.S.-based company with structured operations

Stable, long-term account placements (not gig-style work)

Supportive team culture across all accounts

Growth & Experience

Build your U.S. industry experience

Exposure to multiple practice types and platforms

Potential for increased hours or additional accounts based on performance

Strengthen your resume with verified, legitimate U.S. client experience

Recognition

Tenure recognition for long-term team members

We value loyalty and recognize those who grow with us