Remote Medical Billing Specialist

5 hours, 15 minutes ago
Full-time
Mid Level
Operations
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

  • Review EOBs and ERAs to identify non-payments and denial reasons.
  • Analyze and resolve claim denials and rejections.
  • Review diagnosis and procedure code relationships and apply appropriate billing modifiers.
  • Scrub claims and perform quality checks before submission.
  • Submit initial and secondary claims according to payer guidelines.
  • Manage claim queues, follow-up workflows, and unpaid or rejected claims.
  • Research payer portals and insurance websites for claim updates and resolution.
  • Maintain accurate billing records, documentation, and account notes.
  • Support client accounts, collections, and billing-related inquiries.
  • Communicate with insurance companies, clients, patients, and provider offices while meeting productivity, quality, and turnaround-time expectations.

Requirements

  • 3+ years of hands-on U.S. medical billing or Revenue Cycle Management experience.
  • Experience with claims processing, denial management, claims follow-up, and collections.
  • Ability to interpret EOBs and ERAs.
  • Knowledge of diagnosis and procedure code relationships, billing modifiers, and claims scrubbing.
  • Experience using insurance payer portals and billing or EHR systems.
  • Strong organizational, analytical, problem-solving, written, and verbal English communication skills.
  • Ability to work independently with minimal supervision and manage high-volume workloads accurately.
  • OBGYN medical billing experience strongly preferred.
  • Experience with insurance verification, account management, high-volume billing environments, or remote work preferred.
  • Experience with systems such as eClinicalWorks, Aprima, Medisoft, Veradigm, Nextech, CureMD, Office Practicum, or NextGen is a plus.
  • Remote setup with Windows 10/11, Intel i5/Ryzen 5 or equivalent, 256 GB SSD, and recommended 16 GB RAM.
  • Internet with under 50 ms latency and 100+ Mbps download and upload speeds; wired fiber preferred.
  • Required webcam, noise-canceling headset, and quiet professional workspace; dual monitors and backup internet preferred.

Benefits

  • Full-time remote position.
  • U.S. business-hours schedule.
  • Structured interview process with video interview, screening, client interview, and offer stages.

Interested in this position?

Apply directly on the company website

Apply Now

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