Work From Home Medical Billing jobs

About the Role

Practice Management is seeking an experienced Medical Biller to manage and support the end-to-end medical billing process. The ideal candidate has strong knowledge of insurance verification, claims processing, denial management, AR follow-up, payment posting, and payer processes.

Experience with the following EMR/EHR and healthcare systems is highly preferred:

• Athenahealth
• myAvatar
• Allscripts
• Cloudcraft

Candidates should have hands-on experience working with medical billing workflows and be comfortable handling claims and insurance-related tasks independently.

Key Responsibilities

The Medical Biller will be responsible for the following:

• Patient registration and demographic verification
• Insurance eligibility and benefits verification
• Obtaining referrals and prior authorizations when required
• Charge entry
• Reviewing coding information, including ICD-10-CM, CPT, and HCPCS
• Creating and submitting insurance claims
• Reviewing and correcting clearinghouse rejections
• Monitoring payer claim adjudication
• Posting insurance and patient payments from EOBs/ERAs
• Managing denied and rejected claims
• Preparing and submitting corrected claims and appeals
• Performing insurance follow-up
• Managing and reducing outstanding Accounts Receivable (AR)
• Billing patients for remaining balances
• Reviewing payer requirements and claim issues
• Maintaining accurate documentation of billing activities
• Protecting patient information in accordance with HIPAA

Required Qualifications

• At least 2 years of hands-on medical billing experience
• Strong understanding of the end-to-end medical billing process
• Experience with insurance eligibility and benefits verification
• Experience with claims submission and follow-up
• Experience handling denials, rejections, and appeals
• Experience with AR follow-up and collections
• Knowledge of payment posting, EOBs, and ERAs
• Working knowledge of ICD-10-CM, CPT, and HCPCS
• Experience with payer portals and/or clearinghouses
• Knowledge of HIPAA and patient data confidentiality
• Strong attention to detail and organizational skills
• Ability to work independently in a remote environment
• Strong written and verbal communication skills

· The schedule is 37.5 hours per week.

Pay: Up to Php360.00 per hour

Work Location: Remote