Job Overview
We are seeking an experienced Medical Billing & Accounts Receivable Specialist to support an established healthcare team. The ideal candidate will have strong experience in U.S. healthcare revenue cycle management, with a focus on claims follow-up, denial management, appeals, accounts receivable recovery, and reporting.
In this role, you will work closely with the client's existing billing and account management team to help reduce outstanding accounts receivable and ensure timely claim resolution.
Key Responsibilities
- Follow up on outstanding insurance claims to ensure timely reimbursement
- Manage denied and rejected claims and take appropriate corrective action
- Prepare and submit claim appeals as needed
- Investigate claim issues and identify root causes of payment delays or denials
- Work and maintain 60, 90, and 120-day accounts receivable reports
- Monitor and report on outstanding accounts receivable balances
- Correct billing-related CPT and diagnosis code issues when necessary
- Maintain accurate spreadsheets and AR tracking reports
- Collaborate with the existing billing and account management team
- Ensure HIPAA compliance and billing accuracy at all times
Required Qualifications
- Minimum of 3 years of U.S. medical billing experience
- Strong experience with denial management and appeals
- Proven accounts receivable follow-up experience
- Experience working with Medicare, Medicaid, and commercial insurance payers
- Familiarity with CPT, ICD-10, and healthcare billing workflows
- Strong written and verbal English communication skills
- Ability to work full-time EST hours
- Reliable remote work setup
Preferred Qualifications
- Direct experience with Medent Practice Management (highly preferred)
- Experience using PracticeQ and/or Tebra
- Experience with ophthalmology, multi-specialty, or physician practice billing
- Experience generating and analyzing AR reports
- Strong attention to detail and problem-solving skills
Software Experience
Preferred experience with:
- Medent Practice Management
- PracticeQ
- Tebra
Work Arrangement
- Remote
- Full-time
- EST working hours required
Originally posted on Himalayas