Remote Senior Medical Billing & Denial Specialist

Hire Hangar; Monterrey; A distancia; MXN 1.118.000 - 1.633.000; Jornada completa

Descripción de la vacante

Hire Hangar is seeking a Senior Medical Billing Specialist to join our remote Revenue Cycle Management team. You will own the end-to-end submission of clean claims, validate documentation in the Ritten.io EHR, and drive resolution of denials and payer issues across multiple service lines.

You will monitor daily reports, coordinate with payers and clearinghouses, and document corrective actions to improve denial trends and days-in-A/R.

Formación

• 3–5 years of medical billing, claims follow-up, or payer resolution experience (Medi-Cal/Medicaid preferred).
• Experience working claims through clearinghouses, payers, and denial management systems.
• Strong understanding of CPT/HCPCS codes, modifiers, ICD-10 codes, and Medicaid billing requirements.
• Experience validating claims within an EHR system (Ritten.io experience highly preferred).
• Strong Excel/Google Sheets skills—filters, VLOOKUP, and pivot tables preferred.
• Excellent written and verbal communication skills; ability to navigate payer conversations professionally.

Responsabilidades

• Prepare and submit clean claims for all service lines, ensuring timely submission.
• Validate claims against clinical documentation in Ritten.io and monitor clearinghouse reports.
• Take ownership of denials, rejections, and unpaid claims; resolve root causes and resubmit.
• Document denial reasons and payer communications in internal trackers.
• Collaborate with Authorization Specialists and Care Managers to ensure compliant billing.

Conocimientos

Medical billing

Excel/Google Sheets

Communication skills

Attention to detail

Independent work

Analytical skills

Time management

Herramientas

Ritten.io EHR

Clearinghouse systems

Payer portals

Medicaid billing

Descripción del empleo

Hire Hangar is seeking a Senior Medical Billing Specialist to join our remote Revenue Cycle Management team. You will own the end-to-end submission of clean claims, validate documentation in the Ritten.io EHR, and drive resolution of denials and payer issues across multiple service lines.

You will monitor daily reports, coordinate with payers and clearinghouses, and document corrective actions to improve denial trends and days-in-A/R.