Medical Biller

Amerit Consulting; Cary (NC); Hybrid; USD 50,000 - 65,000; Full time

Job summary

Amerit Consulting is hiring a Medical Billing and Collections Analyst to support multiple client locations in Cary, NC, with hybrid onsite schedule. The role processes medically billed claims, researches denials, and drives reimbursement across Oncology, Rare & Orphan, and Cell & Gene lines.

The analyst collaborates with Operations, Payer Access, Cash Applications, Finance, and Compliance to improve billing accuracy and controls while meeting deadlines and performance metrics.

Qualifications

• 3+ years of medical billing, healthcare collections, or related AR in high-volume environment.
• HS diploma required; associate or bachelor in business/finance/healthcare preferred.
• Experience with payers and resolving denied/unpaid claims.

Responsibilities

• Prepare, review, and submit medically billed claims through Care Tend and Waystar in accordance with payer requirements and established procedures.
• Verify patient, insurance, authorization, coding, and supporting documentation information before claim submission; correct identified errors promptly.
• Monitor claim status, aging, denials, rejections, and underpayments; research root causes and complete timely follow-up, correction, resubmission, reconsideration, or appeal activities.
• Contact payers, patients, and internal partners as appropriate to resolve outstanding balances and document all collection activity accurately.
• Support manufacturer chargeback activities by preparing invoices, submitting required documentation, monitoring payment status, and resolving discrepancies.
• Process billing and invoicing transactions associated with the Exelan VA Lenalidomide program and other assigned programs.
• Reconcile claim, remittance, payment, adjustment, and account information across applicable systems; escalate variances thatcannot be resolved within established guidelines.
• Maintain complete and accurate account notes, work queues, appeal records, payer correspondence, and supporting documentation.
• Complete assigned administrative functions, including patient statement distribution, incoming mail review, and routing checks or other payments to the designated lockbox process.
• Follow internal controls, policies, standard operating procedures, payer requirements, privacy standards, and compliance expectations.
• Track productivity, quality, denial, collection, and aging metrics; prepare recurring reports and communicate emerging trends or barriers to the Manager of Billing and Administration.
• Identify recurring billing or collection issues and recommend practical process improvements that increase accuracy, efficiency, and reimbursement.
• Provide responsive, customer-focused service while collaborating with patients, payers, manufacturers, Operations, Payer Access, Cash Applications, Account Management, Compliance, Finance, and other support teams.
• Support additional Accounts Receivable, billing, collection, and special-project activities as business needs evolve.

Skills

Medical billing

Collections

Denial management

Accounts receivable

Insurance verification

Authorization knowledge

Excel

Payer research

Education

High school diploma

Associate degree

Bachelor's degree

Tools

Waystar

Care Tend

Job description

Overview

Our client, a Global Fortune 50 organization and one of world's largest distributors of healthcare systems, Medical supplies & Pharmaceutical products, seeks an accomplished Medical Billing and Collections Analyst.

*** Candidate must be authorized to work in USA without requiring sponsorship ***

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Location: Hybrid (Cary, NC 27513)

Duration: 9+ months

Work Schedule: Monday-Friday, 7:00 AM-4:00 PM

Work Arrangement: Hybrid - remote with one designated day onsite

Job Summary

The Medical Billing and Collections Analyst reports to the Manager of Billing and Administration and supports client locations in Cary, NC;
Fort Worth, TX;
and Clermont, KY. This individual contributor is responsible for accurately and timely processing medically billed claims, researching and resolving claim denials and unpaid balances, supporting collection activities, and completing related invoicing and administrative transactions. The Analyst works closely with Operations, Payer Access, Cash Applications, Account Management, Compliance, and Finance to improve billing accuracy, accelerate reimbursement, maintain effective controls, and support the revenue cycle across Oncology, Rare & Orphan, and Cell & Gene product lines.

Required Skills

• 3+ years of medical billing, healthcare collections, claims follow-up, denial management, or related accounts receivable experience in a high-volume environment.
• High school diploma or equivalent required;
  associate or bachelor'sdegree in business, finance, accounting, healthcare administration, or a related field preferred.
• Experience working with commercial, government, or other healthcare payers and resolving denied, rejected, or unpaid claims.
• Knowledge of specialty pharmacy, oncology, rare disease, or cell and gene therapy reimbursement is preferred.
• Insurance follow-up and collections
• Understanding of EOBs/ERAs
• Insurance verification and authorization knowledge

Preferred Skills

• Experience with Waystar and/or Care Tend
• Specialty pharmacy, biologics, oncology, rare/orphan disease, or Cell & Gene therapy billing experience
• Experience with high-dollar or complex medical claims
• Underpayments experience
• Chargebacks, invoicing, or reconciliation experience
• Excel/reporting skills
• CPC, CPB, CRCR, or another billing/revenue-cycle certification

Key Responsibilities

• Prepare, review, and submit medically billed claims through Care Tend and Waystar in accordance with payer requirements and established procedures.
• Verify patient, insurance, authorization, coding, and supporting documentation information before claim submission;
  correct identified errors promptly.
• Monitor claim status, aging, denials, rejections, and underpayments;
  research root causes and complete timely follow-up, correction, resubmission, reconsideration, or appeal activities.
• Contact payers, patients, and internal partners as appropriate to resolve outstanding balances and document all collection activity accurately.
• Support manufacturer chargeback activities by preparing invoices, submitting required documentation, monitoring payment status, and resolving discrepancies.
• Process billing and invoicing transactions associated with the Exelan VA Lenalidomide program and other assigned programs.
• Reconcile claim, remittance, payment, adjustment, and account information across applicable systems;
  escalate variances thatcannot be resolved within established guidelines.
• Maintain complete and accurate account notes, work queues, appeal records, payer correspondence, and supporting documentation.
• Complete assigned administrative functions, including patient statement distribution, incoming mail review, and routing checks or other payments to the designated lockbox process.
• Follow internal controls, policies, standard operating procedures, payer requirements, privacy standards, and compliance expectations.
• Track productivity, quality, denial, collection, and aging metrics;
  prepare recurring reports and communicate emerging trends or barriers to the Manager of Billing and Administration.
• Identify recurring billing or collection issues and recommend practical process improvements that increase accuracy, efficiency, and reimbursement.
• Provide responsive, customer-focused service while collaborating with patients, payers, manufacturers, Operations, Payer Access, Cash Applications, Account Management, Compliance, Finance, and other support teams.
• Support additional Accounts Receivable, billing, collection, and special-project activities as business needs evolve.

Amerit Consulting provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Applicants, with criminal histories, are considered in a manner that is consistent with local, state and federal laws.