Medical Billing Specialist - Claims & Rejections Pro

Rcmbilling; United States; On-site; USD 45,000 - 65,000; Full time

Job summary

Rcmbilling is seeking a skilled medical billing professional to prepare and submit clean electronic (EDI 837P/837I) and paper claims (CMS-1500, UB-04). The role involves scrubbing claims in clearinghouses, resolving front-end edits and EDI rejections, and verifying patient demographics and insurance eligibility before claim generation.

The ideal candidate has at least 2 years of US medical billing experience and is proficient with major PM systems (AthenaHealth, eCW, Kareo), with a solid

Qualifications

• 2+ years of hands-on US medical billing experience required.
• Proficiency with major PM systems (AthenaHealth, eCW, Kareo).
• Solid understanding of claim scrub rules, CCI edits, and timely filing deadlines.
• Knowledge of commercial payers and Medicare/Medicaid.

Responsibilities

• Prepare and submit clean electronic claims (EDI 837P/837I) and paper claims (CMS-1500, UB-04).
• Scrub claims in clearinghouses and resolve front-end edits and EDI rejections.
• Verify patient demographic and insurance eligibility data prior to claim generation.

Skills

Medical billing experience (US)

PM system proficiency

Claim scrubbing knowledge

Tools

AthenaHealth

eCW

Kareo

Job description

Rcmbilling is seeking a skilled medical billing professional to prepare and submit clean electronic (EDI 837P/837I) and paper claims (CMS-1500, UB-04). The role involves scrubbing claims in clearinghouses, resolving front-end edits and EDI rejections, and verifying patient demographics and insurance eligibility before claim generation.

The ideal candidate has at least 2 years of US medical billing experience and is proficient with major PM systems (AthenaHealth, eCW, Kareo), with a solid