Remote Medical Billing & AR Specialist – Growth Path

Jobrapido; Detroit (MI); A distancia; USD 39.000 - 44.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Monthly bonus

Descripción de la vacante

Phothera is seeking a Medical Billing & Follow-Up Specialist to join its Revenue Cycle team in the Detroit area. The role focuses on AR follow-up for DME claims while transitioning to a new revenue cycle platform to accelerate cash flow and drive operational excellence.

You will own follow-up, identify root causes, and help the team work smarter by resolving unpaid or delayed claims across Medicare, Medicaid, commercial payers and VA, with emphasis on accurate documentation and proactive process

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.
• Experience working with Medicare, Medicaid, and commercial insurance payers.

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

Medical billing

Accounts receivable

CMS-1500

Payer follow-up

EOBs/ERAs

Denial management

Remote work

Herramientas

Billing software

Payer portals

Descripción del empleo

Phothera is seeking a Medical Billing & Follow-Up Specialist to join its Revenue Cycle team in the Detroit area. The role focuses on AR follow-up for DME claims while transitioning to a new revenue cycle platform to accelerate cash flow and drive operational excellence.

You will own follow-up, identify root causes, and help the team work smarter by resolving unpaid or delayed claims across Medicare, Medicaid, commercial payers and VA, with emphasis on accurate documentation and proactive process