Remote Medical Billing Specialist

3 hours, 14 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 nonpayment and denial reasons.
  • Analyze and resolve claim denials and rejections, including diagnosis and procedure code relationships and billing modifiers.
  • Scrub claims and perform quality checks before submitting initial and secondary claims.
  • Manage claim queues, payer follow-ups, and unpaid or rejected claims.
  • Research payer portals and insurance websites to resolve outstanding claims.
  • Maintain accurate billing records, documentation, and account notes.
  • Support client accounts and respond to billing-related questions.
  • Communicate with insurance companies, clients, patients, and provider offices as needed.
  • Support collections and ensure timely resolution of outstanding accounts.
  • Meet productivity, quality, and turnaround-time expectations while working independently.

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 read and interpret EOBs and ERAs.
  • Experience reviewing diagnosis and procedure code relationships, billing modifiers, and claims scrubbing.
  • Experience using insurance payer portals and medical billing systems.
  • Strong organizational, analytical, problem-solving, written, and verbal English communication skills.
  • Experience in high-volume medical billing environments preferred.
  • OBGYN medical billing experience strongly preferred.
  • Experience with insurance verification, account management, or remote work preferred.
  • Experience with eClinicalWorks, Aprima, Medisoft, Veradigm, Nextech, CureMD, Office Practicum, or NextGen preferred.
  • Reliable remote setup with Windows 10/11, at least an Intel i5/Ryzen 5 processor, 256 GB SSD, required webcam and noise-canceling headset, and a quiet professional workspace.
  • Internet connection with under 50 ms latency and 100+ Mbps download and upload speeds; wired fiber and backup internet preferred.

Benefits

  • Full-time remote work arrangement.
  • U.S. business-hours schedule.
  • Dual monitors, fiber internet with wired Ethernet, and backup internet are preferred for the remote setup.

Interested in this position?

Apply directly on the company website

Apply Now

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