Remote Medical Billing Specialist - Denials & AR Expert

GeBBS Healthcare Solutions

United States

Remote

USD 26,000 - 33,000

Full time

4 days ago
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Job summary

GeBBS Healthcare Solutions is seeking a Medical Billing Specialist for a remote role in the United States. The position focuses on reviewing newly posted charges for accuracy, reconciling edits, and resolving AR for healthcare providers to ensure timely reimbursements.

You will work with CPT/ICD-10 coding, EOBs/ERAs, and multiple billing systems, following HIPAA and payer guidelines. The role requires strong communication and problem-solving skills and experience with EHR/PM systems.

Qualifications

  • 2+ years of U.S. healthcare AR and medical billing experience.
  • Strong knowledge of Medicare/Medicaid and commercial insurance.
  • Proficient in CPT, ICD-10, HCPCS coding and payer guidelines.

Responsibilities

  • Accurately enter medical charges into billing system and review claims for completeness and payer compliance.
  • Ensure charges are entered within required turnaround times (TATs).
  • Identify discrepancies in charges and apply appropriate modifiers, POS, and code sequences as needed.
  • Monitor and resolve edit and rejection queues to meet submission deadlines.
  • Track recurring trends in denials and rejections to support process improvements.
  • Manage accounts receivable aging reports for assigned clients.
  • Follow up with insurers via calls, emails, and payer portals to resolve unpaid or denied claims.
  • Interpret EOBs and ERAs to determine appropriate action on claims.
  • Reconcile denials and clearinghouse rejections and prioritize work by aging and payer guidelines.
  • Document all follow-up activities and claim-status updates in billing software.
  • Communicate with payers, providers, and internal teams to resolve issues.
  • Identify trends in denials and underpayments to support root-ccause analysis.
  • Assist patients with outstanding balances empathetically and clearly.

Skills

AR / Revenue Cycle
EOB/ERA interpretation
Excel

Tools

EPIC
Athena
Kareo
AdvancedMD
eClinicalWorks

Job description

GeBBS Healthcare Solutions is seeking a Medical Billing Specialist for a remote role in the United States. The position focuses on reviewing newly posted charges for accuracy, reconciling edits, and resolving AR for healthcare providers to ensure timely reimbursements.

You will work with CPT/ICD-10 coding, EOBs/ERAs, and multiple billing systems, following HIPAA and payer guidelines. The role requires strong communication and problem-solving skills and experience with EHR/PM systems.

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