Certified Medical Biller, Coder
Posted 17 days ago
You'll complete your application on RCM Staff LLC's career site.
About the Role
This agency specializes in delivering revenue cycle management solutions to medical billing firms and physician offices across the United States. They manage the recruitment, onboarding, and training of HIPAA-compliant, remote personnel—including coders, billers, and A/R specialists—who operate within client systems. The firm supports a wide spectrum of healthcare providers, from independent practitioners to large medical groups and behavioral health clinics. Backed by nearly two decades of industry expertise, the organization offers various service levels ranging from staff augmentation to full-scale account management, providing you the chance to contribute to a remote, international team focused on essential healthcare processes.
Requirements
- Possess a current AAPC credential, such as COC, CPC, or CPB, and be able to supply verification.
- Demonstrate a minimum of two years of work experience in U.S. medical billing and accounts receivable management.
- Show technical competence in handling EOBs, ERAs, appeals, denials, and managing timely filing deadlines.
- Navigate practice management software, clearinghouse platforms, and payer portals with ease.
- Exhibit excellent verbal and written English communication skills for interaction with U.S. insurance carriers.
- Work autonomously while handling diverse patient accounts.
- Maintain a dependable internet connection and a dedicated workspace.
- Commit to a work schedule that follows U.S. Eastern Time business hours.
Responsibilities
- Oversee daily tasks by evaluating account statuses, insurance correspondence, and pending follow-ups, prioritizing urgent deadlines, significant balances, and aged claims.
- Assign accurate CPT, ICD-10-CM, and HCPCS codes along with necessary modifiers based on provider records.
- Handle charge entry and ensure the transmission of error-free claims to clearinghouses.
- Proactively pursue outstanding claims through payer portals and telephonic outreach to obtain resolution timelines and reference numbers.
- Investigate the source of claim denials or rejections, then prepare and file appeals, reconsiderations, and corrected claims.
- Transmit medical documentation securely and confirm all records are verified.
- Review incoming payments to detect discrepancies or posting mistakes.
- Maintain thorough records of all account interactions and report ongoing denial trends to management.
- Uphold rigorous HIPAA standards to protect all patient data.
Benefits & Perks
- This is a full-time, remote role that permits you to work from a home office while adhering to U.S.
- Eastern Time business hours.
Note: This listing is summarized and paraphrased by WorkNow from a publicly posted role. For the original wording and full details, please refer to the employer's official posting.
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