Certified Medical Biller and Coder

This is a remote position.

Key Responsibilities

• Review assigned accounts, new denials, payer correspondence and scheduled follow-ups each day, prioritizing filing deadlines, older claims and high-dollar balances
  
• Assign CPT, ICD-10-CM and HCPCS codes and modifiers from provider documentation
  
• Complete charge entry and submit clean claims through the clearinghouse
  
• Follow up on unpaid claims through payer portals and phone calls, obtaining reference numbers and expected resolution dates
  
• Identify the cause of denials and rejections, then submit corrected claims, reconsiderations and appeals before deadlines
  
• Submit requested medical records securely and keep proof of submission
  
• Review payments and balances for underpayments, posting errors and secondary insurance before transferring patient responsibility
  
• Document every account with the issue, action taken, payer response, reference number and next follow-up date
  
• Escalate unresolved accounts, approaching deadlines and recurring denial patterns to the billing team
  
• Protect patient information and follow HIPAA requirements
  

Qualifications

• Active AAPC certification (CPB, CPC or COC); a copy of your certificate is required to be considered
  
• At least 2 years of experience with U.S. healthcare insurance billing and A/R follow-up
  
• Hands-on experience with denials, appeals, EOBs, ERAs and timely filing requirements
  
• Familiarity with commercial insurance and government health plans
  
• Experience using payer portals, clearinghouses and practice management systems
  
• Strong written and spoken English, including phone calls with U.S. insurance companies
  
• Excellent attention to detail and follow-up skills
  
• Ability to work independently and manage multiple patient accounts
  
• Reliable internet connection and a suitable remote workspace
  

Preferred Qualifications

• Experience supporting a U.S. medical billing company or managing multiple practice accounts
  
• Experience with surgical, orthopedic, gastroenterology, ASC or primary care billing and coding
  
• Experience working through a remote desktop (RDP) environment
  
• Experience with practice management systems such as AdvancedMD, eClinicalWorks, athenahealth or Kareo
  

Schedule

• Full-time position
  
• Must be available during U.S. business hours (Eastern Time)
  
• Final schedule will be determined based on practice needs
  

Work Arrangement

• Remote
  
• Philippines-based applicants preferred