Job Description
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Role Description
- This role involves working as a Healthcare Insurance or Billing Specialist remotely, focusing on U.S. medical billing and insurance processes.
- Insurance eligibility verification and detailed benefits breakdowns
- Obtaining, tracking, and following up on prior authorizations and referrals
- Submitting medical claims accurately and on time
- Conducting AR follow-up and resolving unpaid or denied claims
- Analyzing denials and submitting corrected claims or appeals
- Posting ERA/EOB payments and reconciling discrepancies
- Reviewing aging reports and prioritizing high-value or time-sensitive accounts
- Communicating directly with insurance payers to resolve billing issues
- Supporting patient coordination tasks such as scheduling when needed
- Maintaining accurate documentation within EMR/EHR and billing systems
- Ensuring HIPAA compliance across all communications and processes
- Qualifications
- Minimum 1+ year of hands-on U.S. medical billing or insurance verification experience
- Familiarity with CPT, ICD-10, and basic HCPCS codes
- Experience working with Medicare, Medicaid, and commercial payers
- Background in AR follow-up and denial management
- Familiarity with prior authorizations and referrals
- Comfort communicating with insurance representatives and navigating payer portals
- Detail-oriented, organized, and process-driven
- Able to work independently in a structured remote environment
- Strong English communication skills (verbal and written)
- Requirements
- Experience with EMR/EHR systems is a plus
- Familiarity with platforms such as Kareo, Athenahealth, AdvancedMD, eClinicalWorks, SimplePractice, Dentrix, or similar billing and practice management systems is preferred
- Hours and Pay
- Location: Fully Remote (Contractor Basis)
- Schedule: Part-Time or Full-Time. Must be available within 8 AM ā 6 PM in EST, CST or PST
- Pay Range: $1200 ā $1,500 per month, depending on experience
- Equipment: BYO devices (we provide necessary software)
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