Medical Billing Manager

ResPro Health, LLC; Atlanta (GA); A distancia; USD 60.000 - 65.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Comprehensive Health Care Plan

Flexible Paid Time Off

Descripción de la vacante

ResPro Health, LLC is seeking a detail-oriented Medical Billing Manager to join our growing healthcare team. This role focuses on reviewing, researching, and resolving unpaid or denied insurance claims to ensure accurate and timely reimbursement for medical services rendered.

The ideal candidate is highly organized, an effective communicator, and comfortable working independently in a remote yet collaborative environment, with CPC certification and experience in revenue cycle management.

Formación

• CPC certification required.
• Experience in medical billing, insurance follow-up, or revenue cycle management preferred.
• Familiarity with CPT/ICD-10 coding and payer requirements.
• Knowledge of HIPAA and billing regulations.
• Experience handling appeals and denials.
• Remote work possible with strong communication.

Responsabilidades

• Review and follow up on outstanding insurance claims and unpaid balances.
• Investigate denied or underpaid claims and take corrective action.
• Communicate with carriers regarding claim status, appeals, eligibility, and payment discrepancies.
• Submit corrected claims and appeals promptly.
• Maintain accurate documentation of account activity and follow-up.
• Collaborate with billing, coding, and administrative teams to resolve issues.
• Identify trends in denials and suggest process improvements.
• Ensure HIPAA compliance and billing regulations.
• Meet productivity and quality standards across multiple accounts and deadlines.

Conocimientos

Attention to detail

Communication skills

Multi-tasking

Organization

Remote collaboration

Educación

CPC Certification

Herramientas

EMR/EHR systems

Medical billing software

Descripción del empleo

We are seeking a detail-oriented and motivated Medical Billing Manager to join our growing healthcare team. This role is responsible for reviewing, researching, and resolving unpaid or denied insurance claims while ensuring accurate and timely reimbursement for medical services rendered. The ideal candidate is highly organized, an effective communicator, and comfortable working independently in a remote yet collaborative environment.

Key Responsibilities

• Review and follow up on outstanding medical insurance claims and unpaid balances
• Investigate denied or underpaid claims and take corrective action as needed
• Communicate with insurance carriers regarding claim status, appeals, eligibility, and payment discrepancies
• Submit corrected claims and appeals in a timely manner
• Maintain accurate documentation of account activity and follow-up efforts
• Work collaboratively with billing, coding, and administrative teams to resolve claim issues
• Identify trends in denials and recommend process improvements
• Ensure compliance with HIPAA and all applicable healthcare billing regulations
• Meet productivity and quality standards while managing multiple accounts and deadlines

Requirements

• Certified Professional Coder (CPC) required
• Previous experience in medical billing, insurance follow-up, or revenue cycle management preferred
• Familiarity with EMR/EHR systems and medical billing software
• Knowledge of insurance guidelines, CPT/ICD-10 coding, and payer requirements
• Experience handling appeals and claim denials
• Current Employees: must have been employed by ResPro for 6 months

Preferred Qualifications

• Proficient knowledge, skill, and interest in basic computer skills
• Strong problem-solving skills with the ability to multi-task effectively
• Excellent verbal and written communication skills
• Excellent teamwork and collaboration skills
• Comfortable working remotely while maintaining strong communication with team members
• Strong attention to detail and organizational skills
• Ability to work independently and manage priorities efficiently
• Clean background check required

Benefits

• Comprehensive Health Care Plan (Medical, Dental, Vision)
• Flexible Paid Time Off
• Full Time position with a salary range of $60,000 - $65,000