Remote: Senior U.S. Medical Billing & RCM Specialist

SnappyCX, Inc.; Philippines; Híbrido; PHP 1.258.000 - 1.957.000; Jornada completa

Descripción de la vacante

SnappyCX, Inc. seeks an experienced Senior Medical Billing & RCM Specialist to support U.S. healthcare practices from a fully remote setting. The role requires hands-on U.S.

medical billing experience, managing claims submission, denial management, AR, payer follow-up, and EOB/ERA reviews across multiple payer types. The ideal candidate will have 3+ years in U.S. medical billing, be detail-oriented, and proficient with CPT/ICD-10-CM/HCPCS, payer portals, and EMR/EHR systems, with excellent

Formación

• Minimum 3 years of hands-on U.S. medical billing experience.
• Experience with a U.S. healthcare practice, clinic, medical organization, or similar setting.
• Strong understanding of the U.S. healthcare revenue cycle.
• Hands-on experience with CPT, ICD-10-CM, HCPCS, and applicable modifiers.
• Experience with U.S. payer portals, clearinghouses, and EMR/EHR systems.
• Strong attention to detail and ability to work independently.
• Excellent written and verbal English communication skills.

Responsabilidades

• Manage day-to-day U.S. medical billing and revenue cycle activities.
• Prepare, review, and submit claims to Medicare, Medicaid, and commercial payers.
• Review patient accounts, charges, records, and insurance information for billing accuracy.
• Apply CPT, ICD-10-CM, HCPCS and modifiers as required.
• Identify and correct billing and coding issues causing denials or rejections.
• Manage denied, rejected, unpaid, and underpaid claims.
• Perform insurance follow-up and communicate with payers on outstanding claims.
• Conduct AR follow-up, including aging AR.
• Submit claim corrections, reconsiderations, and appeals as appropriate.
• Review EOBs/ERAs and investigate payment discrepancies.
• Support payment posting and account reconciliation as needed.
• Verify patient and insurance information as required.
• Work with clearinghouses, payer portals, EHR/EMR systems, and billing platforms.
• Monitor outstanding accounts and drive resolution.

Conocimientos

Medical Billing

Revenue Cycle Management

Denial Management

Accounts Receivable

Claims Submission

Insurance/Payer Follow-up

Medical Coding

CPT

ICD-10-CM

HCPCS

EHR/EMR

English Communication

Descripción del empleo

SnappyCX, Inc. seeks an experienced Senior Medical Billing & RCM Specialist to support U.S. healthcare practices from a fully remote setting. The role requires hands-on U.S.

medical billing experience, managing claims submission, denial management, AR, payer follow-up, and EOB/ERA reviews across multiple payer types. The ideal candidate will have 3+ years in U.S. medical billing, be detail-oriented, and proficient with CPT/ICD-10-CM/HCPCS, payer portals, and EMR/EHR systems, with excellent