Responsible for the daily processing and review of claims to Medicare, Medicaid, and other third-party insurance companies in support of the Revenue Cycle department. This role is performed in a fully remote work environment and includes timely follow-up on claims, working with payers and patients to resolve account issues, and maintaining HIPAA-compliant data security while working outside a traditional office.
Requirements & Qualifications
Minimum Qualifications
- High school diploma required; associate degree preferred
- Minimum 2 years of experience in medical billing, medical coding, verification, or accounts receivable management
- Prior success in a remote or telecommute role preferred
- Working knowledge of EHR and practice management systems, payer portals, and clearinghouse platforms
Knowledge and Skills
- Intermediate knowledge of Medicare, Medicaid, and third-party payers
- Familiarity with claim adjustment reason codes (CARCs) and remittance advice remark codes (RARCs)
- Experience with CPT, ICD-10, and HCPCS coding
- Experience filing and processing appeals for medical claims
- Strong attention to detail and quality focus
- Excellent written and verbal communication skills
- Ability to work independently and manage time effectively
- Ability to maintain accurate electronic records in a fully digital environment
- Basic awareness of cybersecurity and PHI data privacy requirements
Remote Work Requirements
- Dedicated, private, HIPAA-compliant home workspace
- Reliable high-speed internet
- Use of company-approved equipment and security measures, including VPN, multi-factor authentication, and encrypted storage/transmission
- Availability during designated core business hours and for scheduled virtual meetings
Location
Texas, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
2 weeks ago
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