We are hiring detail-oriented professionals to manage end-to-end revenue cycle management (RCM) for our growing network of dental and medical practices across the United States. This role offers a unique opportunity to launch a career in healthcare billing without prior experience— we provide comprehensive training, all required compliance certifications, and ongoing support.
Key Responsibilities
Claims Processing & Insurance Management
- Submit dental and medical insurance claims daily through secure clearinghouses.
- Post insurance payments and process Explanations of Benefits (EOBs).
- Process claim denials and initiate appeals with insurance companies.
- Manage aging reports to ensure no claims miss timely filing deadlines.
- Maintain accurate patient ledgers and reconciliation records.
Eligibility Verification & Pre-Authorization
- Verify patient insurance eligibility 48–72 hours before scheduled appointments.
- Confirm coverage details including deductibles, copays, and network status.
- Obtain required pre-authorizations and referrals before service delivery.
- Communicate eligibility findings to practice teams to prevent service delays.
Patient Billing & Communication
- Generate and send accurate patient statements and invoices.
- Collect patient payments and process payment plans.
- Respond to patient billing inquiries with clarity and professionalism.
- Follow up on outstanding balances with sensitivity and tact.
Appointment Scheduling Support
- Coordinate scheduling logistics and confirm patient appointments.
- Ensure all patient demographic and insurance information is accurate.
- Communicate appointment details and any pre‑visit requirements.
- Reduce no‑shows through proactive patient reminders.
Multi‑Client Management
- Manage billing workflows for multiple dental and medical practices simultaneously.
- Maintain organized tracking systems for each client’s unique billing requirements.
- Meet individual client deadlines and reporting standards.
- Communicate proactively with practice teams about account status and action items.
Compliance & Documentation
- Follow HIPAA regulations for all patient health information handling.
- Maintain secure, confidential records and communications.
- Adhere to Business Associate Agreement (BAA) requirements.
- Complete all required compliance training and certifications.
- Document all work accurately for audit and quality assurance purposes.
What We Provide
- Complete, free training program covering medical and dental billing fundamentals.
- Revenue cycle management system training.
- Hands‑on practice management software instruction.
- Real‑world scenario training and mentorship.
All Certifications & Compliance Tools Included
- HIPAA compliance certification and ongoing training.
- Business Associate Agreement (BAA) compliance training.
- Access to secure, HIPAA‑compliant billing platforms.
- Annual compliance refresher training at no cost.
Required Software Access
- Secure claims submission through established clearinghouses.
- Practice management software access for claims, payments, and patient records.
- Eligibility verification tools and payer portals.
- All software training included.
Career Support & Growth
- Dedicated training specialist and ongoing mentorship.
- Clear career advancement pathways.
- Professional development resources.
- Opportunity to specialize in dental or medical billing (or both).
Qualifications
Required (No Experience Necessary)
- High school diploma or equivalent (GED).
- Strong attention to detail and accuracy in data entry.
- Ability to multitask and manage multiple clients simultaneously.
- Reliable internet connection and quiet workspace for remote work.
- Excellent written and verbal communication skills.
- Comfortable learning new software systems quickly.
- Professional phone and email communication skills.
- Willingness to complete HIPAA and compliance training.
- Ability to meet deadlines consistently.
Preferred (Not Required, We Can Train)
- Any exposure to healthcare, medical terminology, or billing software.
- Experience with insurance claim processing or customer service.
- Knowledge of dental or medical billing codes (CPT, CDT, HCPCS).
- Familiarity with practice management systems.
- Experience managing multiple client accounts.
Work Environment
- Remote Position: Work from home with flexible scheduling options.
- Schedule: Standard business hours (Monday–Friday, 8:00 AM – 5:00 PM, flexible arrangements available).
- Tools Required: Computer, internet, phone, and headset.
- System Requirements: Windows or Mac computer, minimum internet speed 10 Mbps, secure WiFi or wired connection.