Certified Medical Biller, Coder

• Review assigned accounts, new denials, payer correspondence and scheduled follow-ups each day, prioritizing filing deadlines, older claims and high-dollar balances
• Assign CPT, ICD-10-CM and HCPCS codes and modifiers from provider documentation
• Complete charge entry and submit clean claims through the clearinghouse
• Follow up on unpaid claims through payer portals and phone calls, obtaining reference numbers and expected resolution dates
• Identify the cause of denials and rejections, then submit corrected claims, reconsiderations and appeals before deadlines
• Submit requested medical records securely and keep proof of submission
• Review payments and balances for underpayments, posting errors and secondary insurance before transferring patient responsibility
• Document every account with the issue, action taken, payer response, reference number and next follow-up date
• Escalate unresolved accounts, approaching deadlines and recurring denial patterns to the billing team
• Protect patient information and follow HIPAA requirements
• Support U.S. medical billing companies and physician practices with end-to-end claims management

• Active AAPC certification (CPB, CPC or COC); a copy of your certificate is required to be considered
• At least 2 years of experience with U.S. healthcare insurance billing and A/R follow-up
• Hands-on experience with denials, appeals, EOBs, ERAs and timely filing requirements
• Familiarity with commercial insurance and government health plans
• Experience using payer portals, clearinghouses and practice management systems
• Strong written and spoken English, including phone calls with U.S. insurance companies
• Excellent attention to detail and follow-up skills
• Ability to work independently and manage multiple patient accounts
• Reliable internet connection and a suitable remote workspace
• Must be available during U.S. business hours (Eastern Time)
• Preferred: Experience supporting a U.S. medical billing company or managing multiple practice accounts
• Preferred: Experience with surgical, orthopedic, gastroenterology, ASC or primary care billing and coding
• Preferred: Experience working through a remote desktop (RDP) environment
• Preferred: Experience with practice management systems such as AdvancedMD, eClinicalWorks, athenahealth or Kareo

• Remote work arrangement
• Full-time employment
• Work schedule during U.S. business hours (Eastern Time)