Remote Medical Biller

MCVO Talent Outsourcing Services; Makati; Remote; PHP 1,200,000 - 1,800,000; Full time

Benefits offered by this job

Work from home

Job summary

MCVO Talent Outsourcing Services is seeking a Mid-Level to Senior Generalist in End-to-End Revenue Cycle Management for multi-specialty practices. This role focuses on the full RCM lifecycle, including eligibility, authorizations, coding accuracy, denial management, and payment posting across multiple payers.

You will collaborate with providers, payers, and patients, optimize AR aging, and navigate EHR/PM systems such as Practice Fusion, eClinicalWorks, Athena, and Simple Practice to ensure

Qualifications

• 3-6+ years of hands-on experience in Revenue Cycle Management.
• Experience with multi-specialty billing (Family Medicine, Internal Medicine, PCP).
• Proven experience with multiple EHR/EMR/PM systems and Availity or similar portals.
• Strong CPT and ICD-10 coding knowledge; modifier usage experience.
• Experience with denial management, appeals, and AR reporting.
• EDI/ERA processing and EFT enrollments; knowledge of payer requirements.

Responsibilities

• Manage end-to-end billing lifecycle across multiple specialties.
• Ensure timely claim submission and adherence to payer guidelines and filing limits.
• Review documentation for coding accuracy and medical necessity.
• Analyze denials and prepare timely appeals with documentation.

Skills

Revenue Cycle Mgmt

Multispecialty billing

AR management

CPT/ICD-10 coding

Availity portals

EDI/ERA processing

EFT enrollment

Denial management

Prior authorizations

Patient communications

Tools

Practice Fusion

eClinicalWorks (eCW)

Athena

Simple Practice

Job description

Job description:

Position: Mid-Level to Senior Generalist - End-to-End Revenue Cycle Management (General)

Job Description:

Purpose

The Medical Biller is responsible for managing end-to-end Revenue Cycle Management (RCM) for multi-specialty practices, including but not limited to Family Medicine, Internal Medicine (IM), PCP, and other specialties.

Primary focus will be on End to End Revenue Cycle Management (BNE, AUTH, PATIENT INBOUND CALLS, PAYMENT POSTING, DENIAL MANAGEMENT, AR, COLLECTION, APPEALS) to ensure timely reimbursement and overall financial health of the practice.

This role works closely with providers, payers, patients, and internal teams to maintain compliance, improve collections, and support sustainable revenue growth.

Key Responsibilities

Revenue Cycle Management - End-to-End

• Manage the full billing lifecycle, including benefit verification, eligibility checks, prior authorizations/utilization review, charge entry, clean claim submission, payment posting, AR follow-ups, denial management, appeals, and patient collections.
• Ensure timely and accurate claim submission to all payers, adhering to payer-specific guidelines and filing limits.
• Review clinical documentation across multiple specialties to ensure coding accuracy, medical necessity, and proper modifier usage.
• Apply and correct CPT, ICD-10 codes, and modifiers, ensuring compliance and optimal reimbursement.
• Utilize multiple EHR/EMR and Practice Management (PM) systems, including Practice Fusion, eClinicalWorks (eCW),Athena, Simple Practice, and any other major EHR/EMR, as required.
• Demonstrate the ability to quickly adapt to and work efficiently across multiple systems simultaneously.
• Proactively follow up on unpaid, underpaid, or denied claims.
• Analyze denials, perform root-cause analysis, and submit timely appeals with appropriate documentation.
• Prepare, reconcile, and distribute accurate patient statements.
• Monitor AR aging reports and work assigned buckets to resolution.Maintain consistent follow-up to reduce AR days and improve cash flow.

Claims Management & Accounts Receivable (AR)

• Track and capture all visits and services to ensure complete and accurate billing.
• Verify patient demographics, insurance eligibility, benefits, and authorization requirements prior to claim submission.
• Demonstrate a thorough understanding of AR reporting and the ability to prioritize work based on aging, payer behavior, and reimbursement risk.
• Identify trends in AR and denials and recommend corrective actions.

Provider, Patient & Insurance Coordination

• Communicate effectively with providers regarding documentation gaps, coding clarifications, and specialty-specific requirements.
• Coordinate with insurance payers, clearinghouses, and portals, including Availity, for claim status, eligibility, and issue resolution.
• Communicate professionally with patients and clients, including handling inbound calls related to billing inquiries, statements, and balances.

EDI, ERA & Payment Processing

• Demonstrate working knowledge of most common EDI and ERA systems/workflows, including claim submission and remittance processing.
• Manage and maintain EFT enrollments with payers.
• Ensure accurate reconciliation between ERA/EOBs and posted payments.

Requirements

• 3-6+ years of hands-on experience in Revenue Cycle Management.
• Experience with multi-specialty billing, including but not limited to Family Medicine, Internal Medicine (IM), PCP, and other specialties.
• Proven experience working with multiple EHR, EMR, and PM systems.
• Strong proficiency in Availity and other payer/EDI portals
• Solid understanding of:

• CPT and ICD-10 coding
• Modifier usage and corrections
• Medical necessity documentation
• Denial management, appeals, and follow-ups
• AR management and reporting
• Benefits verification and prior authorizations
• EDI/ERA processing and EFT enrollments

• Experience with US payers (Commercial, Medicare, Medicaid).

Job Type: Full-time

Benefits:

• Work from home

Work Location: Remote