Remote Medical Billing Manager: Denials & Revenue Lead

ResPro Health; United States; Remote; USD 60,000 - 65,000; Full time

Benefits offered by this job

Health Insurance

Flexible Paid Time Off

Job summary

ResPro Health is seeking a detail-oriented Medical Billing Manager to review, research, and resolve unpaid or denied insurance claims, ensuring timely reimbursement for services rendered. The role supports a remote yet collaborative healthcare team, emphasizing organization, communication, and independent work.

Key responsibilities include following up on claims, investigating denials, communicating with carriers, and maintaining thorough documentation.

Qualifications

• Certified Professional Coder (CPC) required.
• Experience in medical billing, insurance follow-up, or revenue cycle management preferred.
• Familiarity with EMR/EHR systems and medical billing software.
• Knowledge of CPT/ICD-10 coding and payer requirements.
• Experience handling appeals and claim denials.
• Current Employees: must have been employed by ResPro for 6 months.

Responsibilities

• Review and follow up on outstanding medical insurance claims and unpaid balances.
• Investigate denied or underpaid claims and take corrective action as needed.
• Communicate with insurance carriers regarding claim status, appeals, eligibility, and payment discrepancies.
• Submit corrected claims and appeals in a timely manner.
• Maintain accurate documentation of account activity and follow-up efforts.
• Work collaboratively with billing, coding, and administrative teams to resolve claim issues.
• Identify trends in denials and recommend process improvements.
• Ensure compliance with HIPAA and all applicable healthcare billing regulations.
• Meet productivity and quality standards while managing multiple accounts and deadlines.

Skills

EMR/EHR systems

Medical billing software

CPT/ICD-10 coding

Payer requirements

Appeals & denials

Communication

Education

Certified Professional Coder (CPC)

Tools

Billing software

Job description

ResPro Health is seeking a detail-oriented Medical Billing Manager to review, research, and resolve unpaid or denied insurance claims, ensuring timely reimbursement for services rendered. The role supports a remote yet collaborative healthcare team, emphasizing organization, communication, and independent work.

Key responsibilities include following up on claims, investigating denials, communicating with carriers, and maintaining thorough documentation.