Medical Biller

3 weeks, 6 days ago
Full-time
Junior
Operations
GoTo Telemed

GoTo Telemed

GoTo Telemed provides secure and convenient virtual healthcare services, allowing patients to connect with experienced clinicians nationwide through video or audio calls, while also offering integrated tools for medical professionals such as EHR integr...

Internet Software & Services

Description

  • Verify patient insurance eligibility, benefits, prior authorization, and referral requirements before telehealth visits.
  • Maintain accurate patient demographic and insurance records and communicate expected financial responsibility to patients.
  • Code telehealth encounters using CPT, ICD-10-CM, HCPCS, and telehealth-specific modifiers in line with payer rules.
  • Prepare, submit, and track claims through clearinghouses, payer portals, and print-to-mail workflows.
  • Manage front-end claim edits, rejections, corrections, and resubmissions within required timelines.
  • Perform daily accounts receivable follow-up with insurers and patients on aging claims and balances.
  • Review EOBs, post insurance and patient payments, process adjustments, and reconcile account activity.
  • Investigate claim denials and underpayments, prepare corrected claims and appeals, and track resolution patterns.
  • Generate claim, AR, denial, and revenue cycle reports to support management reporting and forecasting.
  • Maintain compliance with HIPAA, telehealth regulations, payer policies, and billing documentation standards.

Requirements

  • High school diploma or GED required; formal training in medical billing, medical coding, healthcare administration, or a related field required.
  • Current medical billing certification or willingness to obtain one within 12 months; CPB and CPC preferred, CCA and CHBME also listed.
  • Strong knowledge of CPT, ICD-10-CM, HCPCS Level II, telehealth modifiers, medical terminology, and anatomy.
  • Telehealth or telemedicine billing experience strongly preferred.
  • Experience with insurance verification, claims submission, AR follow-up, collections, denial management, appeals, payment posting, and EOB/ERA reconciliation.
  • Advanced proficiency with Microsoft Office Suite, especially Excel, Word, and Outlook.
  • Hands-on experience with medical billing, practice management, and EHR systems such as eClinicalWorks, Athenahealth, Kareo, NextGen, or similar.
  • Experience using insurance portals, clearinghouses such as Availity or Change Healthcare, and coding/encoder tools is preferred.
  • Comprehensive understanding of HIPAA, CMS telehealth policies, payer guidelines, and relevant federal billing regulations.
  • Strong attention to detail, communication, problem-solving, organization, time management, and ability to work independently in a remote environment.

Benefits

  • 100% remote work from anywhere in the United States.
  • Flexible schedule within core hours of 8:00 AM to 5:00 PM CST.
  • $500 annual home office stipend for equipment, internet upgrades, and ergonomic setup.
  • Performance-based bonuses tied to claims processing, approval rates, AR reduction, and denial prevention.
  • Annual merit-based raises and reviews tied to performance, certifications, and expanded responsibilities.
  • Full reimbursement for certifications such as CPB, CPC, or CCA, including study time and exam fees.
  • Comprehensive training, continuous education, and expert mentorship.
  • Access to advanced RCM tools, systems, and automation resources.

Interested in this position?

Apply directly on the company website

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