Job Description
Join our dynamic healthcare team as a Remote Medical Biller and play a critical role in ensuring accurate revenue cycle management. We're seeking a detail-oriented professional to process medical claims, manage coding compliance, and optimize reimbursement processes—all while enjoying the flexibility of a remote position. Our supportive environment offers growth opportunities in one of Texas' most vibrant coastal cities.
Responsibilities
- Accurately code diagnoses and procedures using ICD-10, CPT, and HCPCS systems
- Submit electronic claims to insurance payers and track claim status
- Resolve claim denials and underpayments through appeals and documentation
- Verify patient eligibility and benefits for maximum reimbursement
- Maintain compliance with HIPAA, CMS, and payer-specific regulations
- Generate regular reports on key performance metrics
- Collaborate with clinical staff to clarify documentation discrepancies
Qualifications
- 3+ years of medical billing experience in a healthcare setting
- Certified Professional Biller (CPB) or CPC certification preferred
- Proficiency in medical billing software (e.g., Epic, Athenahealth)
- Strong knowledge of CPT, ICD-10, and HCPCS coding guidelines
- Excellent analytical skills for claim resolution
- Ability to work independently with minimal supervision
- High school diploma or equivalent; associate degree preferred
- Remote work setup with reliable high-speed internet