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Experience Level
Experience
Qualifications
Required Skills & Qualifications:Demonstrated experience in insurance billing and collections, ideally within a long-term care or nursing home context. Strong analytical and problem-solving skills. Exceptional organizational capacity with the ability to manage multiple accounts effectively. A quick learner with the ability to adapt to new applications and tools. Must meet the technical and professional standards set by our current remote team members.
About the job
Join our dedicated team at remote-va, where we are committed to providing exceptional support to long-term care facilities throughout the Philippines. We are currently expanding our remote operations and are in search of a proactive and detail-oriented Nursing Home Biller to enhance our billing and collections team.
Key Responsibilities:
Oversee insurance billing and collections for designated facilities.
Review and process claims with meticulous attention to detail.
Collaborate with payers and facility staff to investigate and resolve billing discrepancies.
Maintain accurate billing records and documentation, ensuring compliance with regulatory standards.
Utilize billing software and tools to optimize workflow efficiency.
Required Skills & Qualifications:
Demonstrated experience in insurance billing and collections, ideally within a long-term care or nursing home context.
Strong analytical and problem-solving skills.
Exceptional organizational capacity with the ability to manage multiple accounts effectively.
A quick learner with the ability to adapt to new applications and tools.
Must meet the technical and professional standards set by our current remote team members.
About remote-va
At remote-va, we pride ourselves on our commitment to delivering top-tier support to long-term care facilities across the nation. Our dedicated team is focused on enhancing the operational efficiency of our clients, ensuring they receive the best possible service.
Join our dynamic team at Crewbloom as a Remote Medical Biller and Coder! We are looking for detail-oriented professionals who are passionate about the healthcare industry and ready to contribute to our mission of enhancing billing processes.As a Medical Biller and Coder, you will be responsible for accurately coding patient diagnoses and procedures, ensuring…
Join Our Team as a Medical BillerAre you looking for a rewarding opportunity to work in the healthcare industry? As a Medical Biller at remote-raven, you will play a crucial role in ensuring accurate billing and reimbursement for healthcare services. We are seeking detail-oriented individuals who are passionate about the medical field and have a knack for numbers.Your responsibilities will include processing medical claims, verifying patient information, and managing billing inquiries to ensure timely payments. This role is perfect for someone who thrives in a remote work environment and is dedicated to providing exceptional service.
Job Title: Remote Medical Biller (Dental Claims)Job Type: Full-Time / RemoteAbout the Role: We are looking for a meticulous and dedicated Medical Biller to become a vital part of our team. In this role, you will be primarily responsible for inputting and overseeing insurance claims through dental billing software. The ideal candidate will possess previous experience in medical or dental billing, exhibit exceptional attention to detail, and demonstrate the capability to work autonomously in a remote environment.Key Responsibilities:Precisely enter dental insurance claims into the billing software.Examine patient records to ensure correct claim submissions.Confirm insurance details and eligibility as required.Follow up on unpaid or refused claims to guarantee prompt reimbursement.Maintain orderly digital records of all billing activities.Communicate effectively with dental offices, insurance providers, and patients as required.Ensure adherence to HIPAA and other billing regulations.
Join our dynamic team as a Medical Biller, where your meticulous attention to detail and organizational skills will ensure the seamless management of medical claims and insurance processes. In this essential role, you will be responsible for the accurate and timely submission of medical claims, while adhering to all regulatory standards.Key Responsibilities- Efficiently input claim data into our systems and maintain well-organized records.- Monitor payments and denials, ensuring that claims are processed smoothly.- Proactively resubmit denied or incorrect claims and address any related issues in a timely manner.- Generate and present monthly billing reports and claim summaries.- Liaise with insurance companies to resolve inquiries and tackle claim denials.- Employ tools like ClickUp, Google Suite, and Trizetto Simple Claim to manage your workflow effectively.Qualifications- Proven experience in medical billing and claims management.- Proficient in ClickUp, Google Suite (Docs, Sheets), and Trizetto Simple Claim.- Exceptional attention to detail and precision in data entry.- Strong communication skills for effective interaction with insurance agencies.- Ability to analyze claim denials and devise effective strategies for resolution.- Self-driven, highly organized, and adept at meeting deadlines in a fast-paced setting.Work Schedule- Monday to Friday, 9:00 AM – 6:00 PMPreferred Candidate- Female applicants are particularly encouraged to apply.Benefits of Joining Our Team- Be part of a supportive and professional healthcare environment.- Opportunities for professional development and enhancement of your medical billing skills.- Work in a structured setting with access to cutting-edge tools and technologies.If you are passionate about medical billing and equipped with the necessary skills, we invite you to apply and become a vital part of our growing team!
Position SummaryWe are looking for a meticulous and analytical Certified Professional Coder (CPC) to join our dynamic team at Remote Raven. This pivotal role centers on Denial Management and Revenue Integrity. The ideal candidate is not merely a coder but a resourceful problem-solver capable of investigating the root causes of unpaid claims, rectifying coding errors, and effectively appealing denials.While the primary focus is on coding, we prioritize candidates with a robust background in hard coding—coding directly from operative reports and medical records without excessive reliance on encoders—and comprehensive experience in end-to-end medical billing.Key ResponsibilitiesDenial Management & Coding• Analyze and resolve complex claim denials arising from coding inaccuracies (CCI edits, medical necessity issues, bundling complications, and modifier applications).• Review medical records and perform hard coding accurately from documentation to support appeals, ensuring the utmost specificity for ICD-10-CM, CPT, and HCPCS levels.• Draft and submit thorough appeal letters to payers, referencing appropriate coding guidelines (AMA, CMS) to successfully overturn denials.• Identify trends in coding denials and provide feedback to the billing team or healthcare providers to mitigate future rejections.Billing & Revenue Cycle Support• Leverage medical billing expertise to comprehend the complete lifecycle of a claim, ensuring that corrected codes are entered and rebilled according to payer-specific clearinghouse requirements.• Verify insurance eligibility and benefits in cases where denials pertain to coverage issues.• Collaborate with the accounts receivable team to ensure prompt follow-up on aged claims.Communication & Inbound Support• Handle inbound inquiries from patients regarding billing questions or from insurance representatives regarding claim statuses.• Communicate effectively with providers to clarify documentation gaps that contribute to coding denials.Note: The manager or supervisor may assign tasks outside the key responsibilities and scope of work, limited to the purposes under revenue cycle management.
Join the dynamic healthcare team at CrewBloom as a Medical Biller. We are on the lookout for a detail-oriented and experienced professional who can adeptly manage medical claims and invoices to ensure prompt reimbursement from both insurance companies and patients. In this remote position, you will collaborate with healthcare providers and patients, addressing billing discrepancies while ensuring adherence to regulatory requirements.Key Responsibilities: Claims Processing: Accurately prepare and submit medical claims to insurance entities including Medicare and Medicaid. Billing: Generate invoices for patients, follow up on outstanding payments, and resolve any billing issues. Insurance Verification: Confirm insurance coverage and eligibility, securing necessary authorizations before services are provided. Coding: Apply appropriate medical codes (ICD-10, CPT, HCPCS) to diagnoses and procedures, ensuring compliance with coding standards. Payment Posting: Record payments from insurance and patients, reconciling them with the billing system. Denial Management: Investigate and appeal denied claims, identifying issues to prevent recurrence. Patient Communication: Provide excellent customer service by addressing patient inquiries, discussing payment plans, and offering financial assistance options. Documentation: Keep meticulous records of billing activities, including claims, payments, and correspondence. Compliance: Uphold all healthcare regulations, including HIPAA, to maintain patient confidentiality and data integrity.
Join our dynamic team at remote-va, where we are on the lookout for a meticulous Medical Biller and Cash Poster with a robust background in Applied Behavior Analysis (ABA). This pivotal role ensures that our therapy providers receive accurate and timely reimbursements, allowing them to concentrate on empowering our clients to flourish.The ideal candidate will possess a comprehensive understanding of ABA billing intricacies, including the management of authorization tracking, familiarity with CPT codes such as 97153 and 97155, and the complexities associated with a variety of insurance payers.Key ResponsibilitiesClaims Management: Efficiently submit clean electronic and paper claims to insurance carriers.Cash Posting: Accurately post a high volume of payments (ERAs and EOBs) to patient accounts.ABA Specialization: Oversee authorizations and ensure billing practices are compliant with relevant ABA CPT codes and modifiers.Denial Management: Investigate and appeal denied claims while identifying and resolving billing discrepancies.Reporting: Reconcile daily deposits and deliver weekly accounts receivable (AR) status reports.Communication: Collaborate with clinical staff to provide updates on authorizations and follow up with payers regarding outstanding balances.
Role overview Hunt St is looking for an Experienced Medical Biller to join its remote team. This position is available to candidates based in the Philippines. The Medical Biller plays a key role in supporting healthcare providers by handling billing and financial tasks that help medical practices operate efficiently. What you will do Process medical billing and claims with accuracy Assist healthcare providers in preparing and managing financial documentation Contribute to financial reporting and compliance activities Maintain well-organized records related to patient care billing Work schedule This is a full-time remote role, working Monday to Friday from 9:00 AM to 5:00 PM AEST. Compensation The monthly salary for this position is $1,000 AUD. Location This opportunity is fully remote and open to candidates based in the Philippines.
Join Our Mission: Delivering Hospital-Quality Care, Everywhere.At Verse Medical, we recognize that the healthcare industry still relies on outdated methods like faxes and phone calls to manage essential patient care at home. We believe that both patients and the clinicians who support them deserve a more efficient system.As a well-capitalized Series C company backed by notable investors such as General Catalyst, SignalFire, and Sapphire Ventures, we are on a transformative journey to mend the fragmented healthcare system. Our innovative platform bridges the gap between providers, payors, and patients, ensuring that high-quality care is accessible, reliable, and right at home.We are on a rapid growth trajectory and are seeking passionate individuals who resonate with our mission to join our team!
Full-time|Remote|Remote — Metro Manila, Philippines
Join our innovative team at Remote VA as a Remote Medical Billing Specialist. In this exciting role, you'll be tasked with managing and processing medical claims while ensuring timely and precise billing for both insurance companies and patients. The ideal candidate will exhibit exceptional organizational skills, have strong communication abilities, and demonstrate a comprehensive understanding of medical billing protocols.Key Responsibilities:Accurately prepare and submit medical claims to a variety of insurance providers.Review and verify claims to ensure all information is complete and correct.Follow up on outstanding claims and promptly resolve any billing issues.Communicate effectively with healthcare providers and insurance companies to address queries and discrepancies.Post payments, manage adjustments, and reconcile accounts as needed.Stay informed about current billing regulations, insurance policies, and compliance standards.Generate and provide reports on claims submissions, payments, and denials.
Join our dedicated team at remote-va, where we are committed to providing exceptional support to long-term care facilities throughout the Philippines. We are currently expanding our remote operations and are in search of a proactive and detail-oriented Nursing Home Biller to enhance our billing and collections team.Key Responsibilities:Oversee insurance billing and collections for designated facilities.Review and process claims with meticulous attention to detail.Collaborate with payers and facility staff to investigate and resolve billing discrepancies.Maintain accurate billing records and documentation, ensuring compliance with regulatory standards.Utilize billing software and tools to optimize workflow efficiency.Required Skills & Qualifications:Demonstrated experience in insurance billing and collections, ideally within a long-term care or nursing home context.Strong analytical and problem-solving skills.Exceptional organizational capacity with the ability to manage multiple accounts effectively.A quick learner with the ability to adapt to new applications and tools.Must meet the technical and professional standards set by our current remote team members.
Full-time|$800/yr - $800/yr|Remote|Remote — Quezon, National Capital Region, Philippines
As a Medical Biller, you will play a pivotal role in healthcare operations, primarily focusing on the submission of claims to insurance companies. Your daily tasks will involve processing information from medical coders, ensuring timely claim processing and payments, verifying insurance coverage, analyzing denied claims, and providing assistance to patients with billing inquiries.Key Responsibilities:Handle inbound and outbound calls with patients, providers, and insurance companies for inquiries, appointments, and data verification.Exhibit excellent phone etiquette in all communications.Assist in resolving claim denials and follow up as necessary.Correct and resubmit denied claims efficiently.File electronic and paper claims with primary, secondary, and third-party insurance providers.Document and confirm explanations of benefits (EOBs).Provide essential administrative support, including data entry, insurance verification, follow-ups, and collections on outstanding balances.
Location: BGC Taguig or Iloilo CityWork Setup: Hybrid arrangement with onsite frequency under reviewWork Schedule: Night Shift, Shifting Schedule, no fixed weekends offTarget Start Date: August 3, 2026Headcount Requirement: 30Job Overview: As a US Registered Nurse Medical Coder, you will play a crucial role in ensuring the accuracy and integrity of medical coding and auditing activities. Your expertise in ICD-10 coding and clinical guidelines will support our audit processes and enhance overall healthcare quality.Conduct comprehensive analyses and audits of claims, applying medical chart coding principles and clinical guidelines to ensure precise audit activities.Utilize advanced ICD-10 coding knowledge and industry insights to substantiate audit conclusions.Employ innovative audit tools and streamlined workflows to deliver accurate audit findings and detailed audit letters.Maintain exceptional standards of accuracy and quality as per audit management expectations.Identify potential discrepancies in documentation and coding by spotting unusual patterns, including inappropriate billing practices.Proactively suggest and develop valuable concepts for process improvements, aimed at increasing efficiency and quality.Bring extensive experience in clinical documentation improvement, medical claims billing, provider billing guidelines, and payer reimbursement policies to enhance audit effectiveness.
Work location and schedule This position is fully onsite at either Angeles City or Subic. The role operates during the day shift with weekends off. While shift hours may vary based on client assignment, night shifts are not part of the schedule. Key responsibilities Review inpatient medical records and assign ICD-10 diagnosis and procedure codes, ensuring accurate classification under MS-DRG or APR-DRG. Collect and abstract data as required by facility guidelines. Monitor accounts such as Discharged, Not Final Billed, Failed Claims, and Stop Bills to help maintain timely and compliant inpatient billing. Meet accuracy, quality, productivity, and performance standards using 3M 360 or eCAC systems. Stay up to date with CMS requirements, CCI edits, HACs, and relevant NCDs and LCDs. Apply modifiers correctly to support clean claim submission.
Join our dynamic team at Remote Raven!The Medical Virtual Receptionist is a pivotal role that involves expertly managing a high volume of incoming calls, adeptly triaging patient inquiries, and ensuring seamless call handling from initiation to resolution. We are looking for a candidate who possesses exceptional communication skills, the ability to multitask effectively, and a deep commitment to providing outstanding patient support in a timely manner.Key Responsibilities:Call Management: Efficiently answer and manage a large volume of incoming calls, approximately 400-500, distributed across the team.Directing Inquiries: Accurately direct patient inquiries to the appropriate department or staff member.Triage Calls: Assess the urgency of patient concerns and route calls accordingly, ensuring that patients receive the correct information or are transferred to the right team based on their needs.Complete Call Handling: With comprehensive training, manage calls from the initial inquiry to final resolution, which includes scheduling appointments, relaying messages, and following up with patients as needed.Patient Support: Provide exceptional customer service while addressing patient concerns and ensuring their satisfaction through efficient and professional management of calls.
About the Job:As an MMCD Biller, you will oversee the management of MMCD claims, which includes the submission of claims and thorough research on claim statuses. You will be responsible for maintaining effective communication with our onshore teams, ensuring timely updates and resolution of claim-related issues. This role requires meticulous documentation, professional email correspondence, and proactive communication through inbound and outbound calls to facilitate the efficient resolution of claims discrepancies. The ideal candidate will possess outstanding communication skills, exceptional organizational capabilities, and a proactive mindset. What You'll Do:Aging Management: You will manage the entire aging process for designated facilities, ensuring timely follow-up and resolution of outstanding claims through effective communication.Claim Submission/Billing: Responsible for submitting claims using both paper and electronic methods while adhering to established guidelines and requirements.Claim Dispute and Reconsideration: Manage claim disputes and requests for reconsideration, ensuring all claims are addressed promptly.
Join Coconut , where we bridge the gap between visionary founders and exceptional remote talent, fostering partnerships that are meaningful and reliable. We thrive on the principle that success is a collective journey, where our clients achieve their aspirations, and our virtual professionals experience growth and fulfillment in their roles. We are on the lookout for exceptional individuals to step into the following role:Position: Invoice Coder/Processor (AP/AR Processing)Monthly Salary: $900 - $1100Work Schedule: Full-time - 40 hours per weekTime Zone Requirement: EST==================================================To ensure a smooth application process, please take the time to review and complete the following THREE items:Application Essentials:1 English Proficiency Rating – Indicate your CEFR English proficiency level in the application form. Unsure of your level? Take a quick assessment here: EF SET Quick Check.2 Coconut VA Profile (Resume) – Please create your Coconut VA profile using this template: Coconut VA Profile Template. Your resume must adhere to this format and be in English. This step tests your attention to detail and ability to follow instructions. 3 1-Minute Introduction Video – Record a brief introduction video (preferably using Loom) and submit the link with your application. Before recording, review these video tips and sample videos. Note: By submitting your video, you allow Coconut to share it on our platforms, enhancing your chances of client matches. Submissions with broken or invalid links will be disqualified.Experience Requirements:Invoice Coding Responsibilities:- Scrutinize incoming invoices for accuracy and completeness- Accurately code invoices to the respective GL accounts and cost centers- Verify all supporting documentation and necessary approvals prior to coding- Identify and report discrepancies or missing information to the relevant internal teams- Keep organized digital files of all invoices processed
Key ResponsibilitiesIntake & TrackingEfficiently receive, log, and track all incoming medical records requests via email, patient portal, secure fax, mail, subpoenas, court orders, and payer and Medicare requests.Utilize approved templates to acknowledge receipt and maintain continuous status communication.Authorization & Legal ValidationVerify the identity and authority of requestors to ensure compliance.Thoroughly validate authorizations regarding scope, purpose, expiration, and minimum necessary standards.Identify records requiring special protections (e.g., 42 CFR Part 2, psychotherapy notes, HIV/STD results, minor records, third-party information).Review subpoenas, court orders, payer audits, and Medicare documentation requests meticulously.Escalate legal, complex, or ambiguous requests to Privacy/Compliance and the Lead Accounting Assistant.Clinical & Provider ClearanceRoute all proposed record disclosures to treating clinicians and psychiatric/psych prescribing providers for review and written approval before release.Document approvals, restrictions, redactions, or holds in the ROI log accurately.Place releases on hold and escalate if providers identify clinical risks or contraindications.Record Preparation & FulfillmentRetrieve designated records from the EHR or document repository efficiently.Assemble, paginate, label, and redact records in accordance with policy and provider guidance.Utilize secure encryption and approved delivery methods (secure email, portal, or secure fax).Maintain comprehensive documentation including date/time, recipient, contents, delivery method, and authorizing documents.Timeliness, Quality & AuditsMeet internal SLAs and all federal/state response timelines, including CMS requirements for Medicare records.Conduct quality checks prior to release to ensure accuracy and compliance.Participate in ROI, payer, and Medicare audits and promptly remediate findings.Compliance & Information SecurityStrictly adhere to HIPAA, privacy, confidentiality, and records retention standards.Apply the minimum necessary standard for all disclosures.Follow remote security protocols including VPN, MFA, approved devices, and private workspace requirements.Immediately report and escalate potential privacy incidents or misdisclosures per policy.Collaboration & CommunicationWork closely with Privacy/Compliance teams and other stakeholders to ensure seamless operations.
About Our Practice:We are a premier audiology practice dedicated to delivering outstanding care and support to our patients. As we expand, we are looking for a motivated, organized, and compassionate Remote Medical Receptionist to become a vital member of our team. This role serves as the initial point of contact for our patients, playing an essential role in facilitating a smooth and positive experience.Primary Responsibilities:Respond to and manage incoming calls and patient inquiries with professionalism and courtesy.Efficiently schedule and manage patient appointments.Maintain and update patient records utilizing Blueprint EMR.Assist patients with billing inquiries and verify insurance information.Communicate and coordinate with medical staff to ensure seamless daily operations.Provide general administrative support as necessary.
Job Title: Medical Billing Denials & Appeals Specialist Schedule: Full-Time | Monday to Friday | 9:00 AM – 5:00 PMJob OverviewJoin our dynamic team as a Medical Billing Denials & Appeals Specialist. This remote role is essential for reviewing denied claims, engaging with insurance companies, and ensuring prompt follow-ups that maximize reimbursement outcomes. The ideal candidate will exhibit exceptional organizational skills, quick learning ability, and confidence in navigating medical billing systems while maintaining a professional rapport with insurers and internal teams.This is a truly remote position, welcoming applicants from all over the globe as long as they meet the necessary qualifications.Key ResponsibilitiesExamine and assess denied or rejected medical claims to identify underlying issues.Engage with insurance companies via telephone to follow up on denied claims and gather claim status updates.Compile and submit appeals with precise documentation and supporting evidence.Collaborate with clients or internal teams to collect essential patient or claim information.Maintain accurate billing system updates and thorough documentation of all follow-up actions.Adhere to insurance guidelines and medical billing regulations to ensure compliance.Work diligently to minimize claim aging and enhance reimbursement turnaround times.RequirementsExtensive experience in medical billing denials and appeals.Demonstrated ability to communicate clearly and professionally in fluent English (both verbal and written).Comfortable with making frequent outbound calls to insurance providers.A quick learner with the capacity to swiftly understand workflows and navigate billing systems.Detail-oriented, analytical, and exceptionally organized.Dependable, trustworthy, and able to work autonomously in a remote setting.Experience with medical billing or practice management systems is highly advantageous.
