Summary
This role plays a critical part in supporting the revenue cycle operations of a U.S.-based healthcare client. The Medical Billing Specialist is responsible for managing claim queues, reducing claim denials, recovering aging claims, and communicating with payers to ensure timely and accurate reimbursement. Ideal candidates have hands-on experience in medical billing or claims follow-up and thrive in a process-driven, fast-paced environment.
Responsibilities and Requirements
Responsibilities:
Review and manage aging or denied claims within the client’s billing system
Investigate root causes of claim denials and submit corrections or supporting documentation
Make outbound calls to insurance payers to check claim statuses, appeal denials, and resolve payment issues
Document all interactions and claim updates with precision and clarity
Identify and escalate recurring denial trends or system/process bottlenecks to the client’s RCM lead
Support additional revenue cycle management (RCM) tasks as needed to optimize revenue operations
Qualifications:
1–3 years of experience in medical billing, revenue cycle management, or claims follow-up
Proficiency with billing software or payer portals (e.g., Kareo, Athena, AdvancedMD, etc.)
High attention to detail and strong organizational skills
Comfortable working independently and handling repetitive or process-heavy tasks tasks with accuracy
Strong English communication skills (spoken and written), with confidence in phone interactions with payers and navigating insurance systems
Nice to Have:
Experience recovering aged claims or handling denial management workflows
Prior work with U.S. healthcare providers
Background in a remote RCM role