Remote Medical Billing & AR Specialist — Growth Path

Phothera Phototherapy; Columbia (SC); Hybrid; USD 39,000 - 44,000; Full time

Job summary

Phothera Phototherapy is seeking a Medical Billing & Follow-Up Specialist to join the Revenue Cycle team. This individual contributor role focuses on AR follow-up, denial management, and strategic payer interactions to improve cash flow.

The position supports a growing in-home phototherapy provider transitioning to a new RCM platform. Office or remote work arrangements are available as the company scales operations and optimizes processes.

Qualifications

• 2+ years of experience in medical billing and revenue cycle management.
• Experience with CMS-1500 claims for professional billing.
• Experience investigating unpaid/denied claims and payer follow-up.
• Strong understanding of EOBs/ERAs and claim corrections.
• Experience with Medicare/Medicaid and commercial payers.
• Knowledge of CPT/HCPCS modifiers and medical necessity requirements.
• Ability to research issues and determine next steps.
• Excellent organizational skills for high-volume claims.
• Ability to work independently in a remote environment.

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

Skills

Medical billing

CMS-1500 claims

Denial management

Payer follow-up

Medicare/Medicaid/Commercial payers

CPT/HCPCS knowledge

Root-cause analysis

Organization

Remote work

Job description

Phothera Phototherapy is seeking a Medical Billing & Follow-Up Specialist to join the Revenue Cycle team. This individual contributor role focuses on AR follow-up, denial management, and strategic payer interactions to improve cash flow.

The position supports a growing in-home phototherapy provider transitioning to a new RCM platform. Office or remote work arrangements are available as the company scales operations and optimizes processes.