Remote Medical Billing & AR Specialist — Growth & Impact

Phothera Phototherapy; Cleveland (OH); A distancia; USD 39.000 - 44.000; Jornada completa

Descripción de la vacante

Phothera, a rapidly growing healthcare company, is seeking a Medical Billing & Follow-Up Specialist to strengthen its Revenue Cycle team. The role emphasizes AR follow-up, resolving unpaid and delayed DME claims, and optimizing processes during a platform transition.

You will own follow-up, identify root causes, and help the team work smarter, with opportunities to contribute to denials analysis, policy research, and documentation accuracy in a remote, fast-paced environment.

Formación

• 2+ years of experience 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.

Responsabilidades

• 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.
• Identify systemic issues and recommend process improvements.
• Maintain detailed, compliant documentation within the billing system.

Conocimientos

Accounts receivable

Medical billing

CMS-1500 claims

Payer follow-up

Documentation

Root-cause analysis

Independent work

Herramientas

Payer portals

Claim submission systems

Descripción del empleo

Phothera, a rapidly growing healthcare company, is seeking a Medical Billing & Follow-Up Specialist to strengthen its Revenue Cycle team. The role emphasizes AR follow-up, resolving unpaid and delayed DME claims, and optimizing processes during a platform transition.

You will own follow-up, identify root causes, and help the team work smarter, with opportunities to contribute to denials analysis, policy research, and documentation accuracy in a remote, fast-paced environment.