Medical Billing Specialist

14 hours, 12 minutes ago
Full-time
Mid Level
Finance and Accounting
Pavago

Pavago

Pavago specializes in connecting small and medium-sized businesses with skilled offshore talent from Pakistan and Latin America, offering a streamlined recruitment process that enables the hiring, onboarding, and payment of remote employees at signific...

IT Services
Founded 2023

Description

  • Prepare, review, and submit accurate medical claims with required coding and supporting documentation.
  • Monitor claim status and resolve submission errors, rejections, and delayed payments.
  • Post insurance, patient, and adjustment payments and reconcile reimbursements using EOBs and ERAs.
  • Investigate denied or rejected claims and submit corrected claims or appeals within payer deadlines.
  • Track denial trends and help prevent recurring billing errors.
  • Monitor aging accounts and follow up with insurers on outstanding claims and unpaid balances.
  • Respond to billing inquiries from patients, payers, and internal stakeholders.
  • Maintain compliant, accurate billing records, shared trackers, and Finance documentation while protecting patient information.

Requirements

  • Proven experience in medical billing, claims processing, or a similar healthcare finance role.
  • Strong knowledge of ICD-10, CPT, and HCPCS medical coding systems.
  • Hands-on experience with insurance verification, EOBs, payment posting, and remittance processing.
  • Experience using medical billing software or practice management systems.
  • Understanding of the full medical billing and claims lifecycle, including claim follow-up, denials, and appeals.
  • Proficiency in written and spoken English for communication with payers and internal teams.
  • Ability to work independently, manage multiple detail-heavy tasks, and maintain accuracy in a remote environment.
  • Experience with U.S. healthcare billing and insurance processes (preferred).
  • Familiarity with clearinghouses and electronic claims submission workflows (preferred).
  • Experience managing accounts receivable aging reports, reimbursement trends, or remote Finance/RCM teams (preferred).

Benefits

  • Full-time remote position.
  • Work schedule aligned with U.S. business hours.

Interested in this position?

Apply directly on the company website

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