Virtual Medical Biller - RCM

Staffing For Doctors; Philippines; Remote; PHP 260.000 - 380.000; Vollzeit

Zusammenfassung

Staffing For Doctors seeks an experienced Virtual Medical Biller to manage the complete revenue cycle for family practice accounts in a remote role. You will oversee daily billing operations, verify insurance, submit claims, post payments, and monitor aging AR to maximize collections.

Ideal candidates have at least 2 years in full revenue cycle management for family or primary care, with strong ICD-10/CPT/HCPCS knowledge and familiarity with Athenahealth or AdvancedMD.

Qualifikationen

• Minimum of 2 years of dedicated medical billing experience specializing in full revenue cycle management.
• Experience with Family Practice or Primary Care physician practices.
• Hands-on experience with ICD-10, CPT, and HCPCS coding.
• Strong understanding of insurance verification workflows and HIPAA compliance.

Aufgaben

• End-to-End Revenue Cycle Management: manage the full medical billing cycle from patient registration to payment posting.
• Claims Scrubbing & Submission: ensure electronic claims are reviewed before submission to reduce rejections.
• Denials Management & Appeals: track, analyze, and appeal denied claims with payers.
• Accounts Receivable Follow-Up: work aging reports and resolve billing discrepancies.
• Patient Billing & Support: handle inquiries and assist with payment plans.
• Compliance & Accuracy: ensure billing practices comply with HIPAA and payer guidelines.

Kenntnisse

Medical billing

Communication

Tools

Athenahealth

AdvancedMD

Jobbeschreibung

About the Role:

We are seeking an experienced and detail-oriented Virtual Medical Biller to manage the complete revenue cycle for family practice and primary care physician accounts. In this remote role, you will oversee day-to-day medical billing operations to maximize collection rates, minimize accounts receivable (A/R) days, and ensure accuracy across all patient billing lifecycles.

Requirements

Key Responsibilities:

1. End-to-End Revenue Cycle Management: Manage the full medical billing cycle from patient registration and insurance verification to charge entry, claim submission, and payment posting.
2. Claims Scrubbing & Submission: Ensure electronic claims are meticulously reviewed and scrubbed prior to submission to reduce initial rejection and denial rates.
3. Denials Management & Appeals: Proactively track, analyze, and appeal denied or rejected claims with commercial payers, Medicare, and Medicaid.
4. Accounts Receivable (A/R) Follow-Up: Regularly work aging reports, follow up on unpaid claims, and resolve billing discrepancies with insurance carriers.
5. Patient Billing & Support: Handle patient billing inquiries, set up payment plans, and assist with financial clearance when necessary.
6. Compliance & Accuracy: Ensure all billing practices comply with HIPAA regulations, payer guidelines, and coding standards.

Qualifications & Requirements:

• Experience: Minimum of 2 years of dedicated medical billing experience specializing in full revenue cycle management.
• Specialty Experience: Proven track record working with Family Practice or Primary Care physician practices.
• EMR/EHR Proficiency: Hands-on experience and deep familiarity with Athenahealth and/or AdvancedMD electronic medical record systems.
• Technical Skills: Strong understanding of ICD-10, CPT, and HCPCS coding, medical terminology, and insurance verification workflows.
• Communication & Organization: Excellent written and verbal communication skills, with the ability to work independently in a remote virtual environment.
• Reliable and able to commit long term for this role.