This is a full-time remote position responsible for managing claims billing and payment posting functions across the practice. The ideal candidate is a
detail-oriented, self-sufficient medical biller with allergy and asthma specialty experience who can work independently with minimal day-to-day supervision.
Key Responsibilities
- Review and proof claims prior to submission, including verification of modifiers, diagnosis codes, and code combinations
- Transmit claims electronically to insurance payers
- Identify, correct, and resolve rejected claims, including insurance information discrepancies originating from front-desk registration
- Post electronic remittance advices (ERAs) and review remittances for automatic denials, payment variances, and underpayments
- Investigate and resolve denied claims and initiate appeals when appropriate
- Contact patients to obtain updated insurance information when needed
- Access payer portals to review claim status, resolve rejections, and upload medical records or supporting documentation
- Generate and work monthly aging reports for claims outstanding more than 30 days
- Research and resolve outstanding balances in a timely manner
- Maintain accurate and detailed documentation of all billing activity within patient accounts
- Communicate professionally with patients, insurance companies, and internal staff regarding claim issues and resolutions.
Qualifications
- Allergy and asthma specialty billing experience
- 3–5 years of medical claims billing experience
- Strong knowledge of Medicare and Blue Cross Blue Shield (BCBS) payer guidelines
- Proficiency in ERA/EOB posting
- Experience with claim denial resolution and appeals
- Excellent attention to detail and accuracy
- Strong written and verbal English communication skills
- Ability to work independently and manage the full billing cycle with minimal
- Organized and highly dependable
- Strong problem-solving and analytical skills
- Comfortable working in a small-practice environment
- Able to prioritize tasks and meet deadlines in a remote setting
Perks
- Permanent Work From Home
- Leave Credits
- Monetary Allowance
- Annual Bonus
- Weekly Paychecks
- Fixed Weekends Off
- Thriving Company Culture with Complete Autonomy
- Exclusive Specialized Training Programs
- Unlock Your Potential with a Highly Competitive Salary
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