Medical Billing & Revenue Cycle Specialist - REMOTE / Work From Home

Abria Detox; Lahore; Remoto; PKR 14.424.000 - 19.417.000; Tempo pieno

Descrizione del lavoro

Abria Detox is seeking an experienced Medical Billing & Revenue Cycle Specialist to join our remote team. The role focuses on U.S. healthcare claims, insurance denials, and revenue cycle management, with hands-on submission, review, and follow-up responsibilities.

Ideal candidates bring 2+ years of U.S. medical billing experience, familiarity with CMS-1500 and ICD-10, strong English communication, and the ability to handle confidential information and communicate with payers effectively.

Competenze

• Minimum 2 years of hands-on U.S. medical billing or revenue cycle management experience.
• Experience with claims submission, A/R follow-up, denial management, appeals, payment posting, insurance verification, prior authorizations, EOB/ERA review, and payer portals.
• Knowledge of U.S. healthcare revenue cycle management, CMS-1500, 837P electronic claims, ICD-10, CPT/HCPCS, HIPAA, and U.S. healthcare privacy requirements.
• Strong written and spoken English.
• Ability to communicate directly with U.S. insurance companies.
• Ability to work independently with confidential patient information.
• Experience with behavioral health, substance use disorder, Medicaid, or commercial insurance billing is preferred.

Mansioni

• Submit and track medical claims accurately and on time.
• Review claims for errors before submission.
• Work rejected and denied claims.
• Follow up on unpaid and underpaid claims.
• Manage insurance Accounts Receivable (A/R).
• Review aging reports and prioritize outstanding balances.
• Contact insurance companies regarding claim status and payment issues.
• Verify patient insurance eligibility and benefits.
• Verify authorization requirements.
• Track prior authorizations and ensure services are properly authorized.
• Review EOBs and ERAs.
• Post insurance payments and adjustments.
• Identify incorrect payments and underpayments.
• Correct and resubmit claims when necessary.

Conoscenze

Medical billing

Revenue cycle

English proficiency

Strumenti

Payer portals

Descrizione del lavoro

Job Description

We are a growing U.S.-based behavioral health and substance use disorder treatment organization looking for an experienced Medical Billing & Revenue Cycle Specialist to join our team remotely. This is not a general virtual assistant position. The role requires hands‑on experience with U.S. healthcare claims, insurance companies, denials, accounts receivable, and revenue cycle management.

Responsibilities

• Submit and track medical claims accurately and on time
• Review claims for errors before submission
• Work rejected and denied claims
• Follow up on unpaid and underpaid claims
• Manage insurance Accounts Receivable (A/R)
• Review aging reports and prioritize outstanding balances
• Contact insurance companies regarding claim status and payment issues
• Verify patient insurance eligibility and benefits
• Verify authorization requirements
• Track prior authorizations and ensure services are properly authorized
• Review EOBs and ERAs
• Post insurance payments and adjustments
• Identify incorrect payments and underpayments
• Correct and resubmit claims when necessary

Job Specification

• Minimum 2 years of hands‑on U.S. medical billing or revenue cycle management experience
• Experience with claims submission, A/R follow-up, denial management, appeals, payment posting, insurance verification, prior authorizations, EOB/ERA review, and payer portals
• Knowledge of U.S. healthcare revenue cycle management, CMS-1500, 837P electronic claims, ICD-10, CPT/HCPCS, HIPAA, and U.S. healthcare privacy requirements
• Strong written and spoken English
• Ability to communicate directly with U.S. insurance companies
• Ability to work independently with confidential patient information
• Experience with behavioral health, substance use disorder, Medicaid, or commercial insurance billing is preferred