Certified Medical Billing Specialist

Receivable Solutions, LLC (RSi); United States; Remote; USD 50,000 - 70,000; Full time

Job summary

A healthcare solutions company is seeking a Remote Insurance Follow-Up Representative to work in a hospital setting. The ideal candidate will have over 3 years of experience in hospital billing and revenue cycle management, with strong knowledge of UB-04 claim forms. Responsibilities include analyzing denials, contacting payers for resolution, and preparing appeals. Preferred qualifications include certifications like CRCR, CMRS, or CPB. This role offers a flexible remote work arrangement.

Qualifications

• Minimum 3+ years of experience in hospital billing or revenue cycle management.
• Preferred certifications include CRCR, CMRS, or CPB.
• Experience with software such as Epic, Cerner, or Meditech.

Responsibilities

• Analyze denials to identify trends and recommend process improvements.
• Contact third-party payers to resolve denials and ensure timely payment.
• Prepare and submit appeals and resubmit corrected claims as necessary.

Skills

Hospital billing experience

Revenue cycle management

Analysis skills

Strong knowledge of UB-04 claim forms

Communication skills

Education

High school diploma or equivalent

Associate degree

Tools

Epic

Cerner

Meditech

Job description

A company is looking for a Remote Insurance Follow-Up Representative for a hospital setting.

Key Responsibilities

• Analyze denials to identify trends and recommend process improvements
• Contact third-party payers to resolve denials and ensure timely payment
• Prepare and submit appeals and resubmit corrected claims as necessary

Required Qualifications and Education

• Minimum 3+ years of experience in hospital billing or revenue cycle management
• Preferred certifications include CRCR, CMRS, or CPB
• Strong knowledge of UB-04 claim forms and payer-specific rules
• Experience with software such as Epic, Cerner, or Meditech
• High school diploma or equivalent required; associate degree preferred