Remote Medical Billing Specialist - Allergy & Immunology

Modena-Allergy-Asthma; San Diego (CA); Remote; USD 55,000 - 75,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

401(k) retirement plan matching

Paid time off and holidays

Remote work option

Job summary

Modena Health, a leading allergy and asthma care provider, seeks an Insurance Collector/Medical Billing Specialist to join our growing billing team in San Diego. You will review clinical documentation, assign accurate codes, and drive reimbursement by working with providers, payers, and patients to resolve billing issues.

The ideal candidate has 2+ years of medical billing experience, CPT/ICD-10-CM knowledge, and proficiency with EMR and practice management systems.

Qualifications

• 2+ years of medical billing and insurance collections experience.
• Knowledge of CPT, ICD-10-CM, and HCPCS coding.
• Experience with denial management and appeals.
• Familiarity with Medicare/Medicaid and commercial plans.
• Proficiency with EMR and practice management systems.
• Excellent verbal and written communication skills.

Responsibilities

• Follow up on outstanding claims with payers (commercial, Medicare, Medicaid).
• Investigate and resolve denied or underpaid claims.
• Submit corrections, reconsiderations, and appeals with documentation.
• Review EOBs/ERAs and payer correspondence.
• Monitor aging reports and prioritize collections.
• Verify patient eligibility and benefits.
• Ensure reimbursement for allergy testing and related services.
• Document all account activity and maintain HIPAA compliance.
• Meet productivity and collection targets.

Skills

Medical billing

Insurance collections

Denial management

CPT ICD-10 coding

HIPAA compliance

EMR systems

Education

High school diploma

Associate's degree preferred

Tools

Practice management software

EOB/ERA review tools

Job description

Modena Health, a leading allergy and asthma care provider, seeks an Insurance Collector/Medical Billing Specialist to join our growing billing team in San Diego. You will review clinical documentation, assign accurate codes, and drive reimbursement by working with providers, payers, and patients to resolve billing issues.

The ideal candidate has 2+ years of medical billing experience, CPT/ICD-10-CM knowledge, and proficiency with EMR and practice management systems.