Remote Medical Billing & AR Optimization Specialist

Phothera Phototherapy; Cedar Rapids (IA); Remote; USD 39,000 - 44,000; Full time

Benefits offered by this job

Monthly bonus

Growth opportunities

Job summary

Phothera is hiring a Medical Billing & Follow-Up Specialist to join the Revenue Cycle team. The role focuses on AR follow-up, resolving unpaid or delayed DME claims, and optimizing the new revenue cycle platform to improve cash flow and process efficiency.

The successful candidate will own follow-up, identify root causes, and help the team work smarter, with a strong emphasis on payer challenges and documentation accuracy.

Qualifications

• 2+ years in medical billing, accounts receivable, reimbursement, or revenue cycle management.
• Hands-on experience with professional/physician billing and CMS-1500 claims.
• Experience investigating and resolving unpaid, underpaid, rejected, and denied claims.
• Strong understanding of payer follow-up, EOBs/ERAs, claim corrections, and resubmissions.
• Experience with Medicare, Medicaid, and commercial payers.
• Knowledge of CPT, HCPCS, modifiers, and medical necessity requirements.

Responsibilities

• Track and resolve unpaid, underpaid, or delayed DME claims.
• Submit and follow up on Medicare, Medicaid, Commercial, and VA claims.
• Interpret EOBs and ERAs and apply payments accurately.
• Research payer policies, LCDs and NCDs, and coverage requirements.
• Validate documentation including CMNs, prescriptions, proof of delivery, and prior authorizations.
• Submit appeals when necessary and monitor outcomes.

Skills

Medical billing

Accounts receivable

CMS-1500 claims

Payer follow-up

EOBs/ERAs

Medical coding knowledge

Job description

Phothera is hiring a Medical Billing & Follow-Up Specialist to join the Revenue Cycle team. The role focuses on AR follow-up, resolving unpaid or delayed DME claims, and optimizing the new revenue cycle platform to improve cash flow and process efficiency.

The successful candidate will own follow-up, identify root causes, and help the team work smarter, with a strong emphasis on payer challenges and documentation accuracy.