Medical Billing and Appeals Specialist

Join our team as a Medical Billing & Appeals Specialist where you will play a vital role in the submission of appeals for denied claims and assist in the daily billing operations of our organization. This position is perfect for individuals with a basic understanding of billing practices who are enthusiastic about expanding their skills.Key Responsibilities:…

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.

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.

Job Title: Medical Billing & Office Support Assistant (ABA Industry)Join our dedicated team at remote-va, a leader in the ABA (Applied Behavior Analysis) therapy sector. We are on the lookout for a dependable and detail-oriented Medical Billing and Office Support Assistant to enhance our medical billing, data entry, and overall office operations.This position emphasizes the technical and administrative aspects of dealing with medical insurance. While prior experience in the ABA field is not mandatory, we are eager to train the right candidate who demonstrates strong organizational skills, accuracy, and a willingness to learn.Working Hours: 9 am - 5 pm EST (Monday - Friday)Key ResponsibilitiesAccurately input and update client and insurance information.Support medical billing processes related to insurance claims.Verify insurance details and manage records diligently.Assist with office administration and documentation tasks.Organize digital files and ensure data integrity.Collaborate with team members regarding billing and paperwork requirements.

Join ISTA Solutions, a leading outsourcing and offshoring company, as an Experienced Medical Billing Specialist. Our rapidly growing team values employee satisfaction and promotes a healthy work-life balance. At ISTA Solutions, we are dedicated to fostering a culture of long-term success and continuous learning. If you're a collaborative team player eager to make a meaningful impact, we want to hear from you!Key Responsibilities: Conduct eligibility and benefits verification for various medical treatments, hospital stays, and procedures. Review patient bills for accuracy, completeness, and follow-up on any missing information. Manage unpaid claims within the designated billing cycle. Communicate with insurance companies to resolve payment discrepancies as required. Identify and bill secondary or tertiary insurance providers. Job Duties: Deliver exceptional customer support via phone, email, and chat. Address customer inquiries and resolve issues to enhance satisfaction. Collaborate with team members and other departments to tackle complex challenges. Keep precise records of customer interactions, transactions, and feedback. Qualifications: 6 months to 1 year of experience in a BPO environment, specifically within a US Healthcare account. Solid understanding of medical claims, benefits, eligibility, and appeals processes. Familiarity with US Healthcare Insurance systems, including Medicare and Medicaid. Excellent English communication skills, both verbal and written. Demonstrated empathy and patience when addressing customer concerns. Strong analytical and problem-solving abilities. Ability to adapt to a dynamic work environment. Composure under pressure. Proficient in navigating computer systems and relevant software. Willingness to work onsite in Makati or Mandaluyong. Able to work night shifts. Benefits:What We Offer: Competitive salary and benefits package. Health Insurance with coverage for dependents. 10% night differential pay. Attendance bonuses. Paid time off and convertible leave credits. Regular performance appraisals. A strong emphasis on work-life balance. Opportunities for career growth and skills development. Our Commitment: A culture of values-driven leadership. We provide opportunities for professional development and personal fulfillment.

Join our dynamic team at berryvirtual as a Dental Billing Specialist, where you will play an essential role in the seamless management of the billing cycle. Your expertise in Revenue Cycle Management (RCM) and Accounts Receivable (A/R) will be crucial in ensuring the efficiency of our billing operations. You will handle claims processing, investigate denials, and perform comprehensive billing tasks all aimed at maximizing revenue for dental healthcare practices.Key Responsibilities: Comprehensive Revenue Cycle Management (RCM): Manage the entire billing cycle, from claims submission to final reimbursement, ensuring accuracy and efficiency at each stage. Accounts Receivable (A/R) Management: Monitor unpaid bills, conduct follow-ups on outstanding claims, and resolve collection challenges to enhance revenue. Claims Denial Investigation: Thoroughly investigate denied claims, pinpoint errors, and make necessary corrections before resubmission. Claims Resubmission: Oversee backend processes related to claim corrections and resubmissions to prevent delays in reimbursements. Document Compliance: Ensure all billing activities adhere to regulatory standards, including HIPAA compliance. Qualifications: Demonstrable experience in medical billing within the dental sector. Familiarity with claim denial management and collections practices. Excellent English communication skills, both written and verbal. Proficient in dental billing software (e.g., Eaglesoft, Dentrix, Denticon). Strong customer service orientation and critical thinking abilities. Knowledge of HIPAA regulations and commitment to patient data confidentiality. Exceptional problem-solving capabilities and ability to work independently. Willingness to accommodate US time zones (PST, EST, CST). High school diploma or equivalent is required. System and Work Setup Requirements: Internet: Minimum bandwidth of 25 Mbps with a reliable backup connection. Processor: Intel Core i5 7th Generation or higher (or equivalent). Memory: 8 GB RAM. Storage: 256 GB SSD or HDD with at least 50% free space. Webcam: 720p resolution or higher. Operating System: Windows 10 or later (or equivalent). Audio Equipment: Noise-canceling headphones or headset. Workspace: A dedicated, quiet, and organized workspace to ensure productivity. Benefits: Permanent remote work opportunities. Health Insurance coverage. 401k retirement plan options.

Join our dedicated team at assist-world, an outpatient mental health clinic committed to providing comprehensive medication management services for individuals facing depression, anxiety, and various psychiatric disorders. We are on the lookout for a skilled Medical Billing & Revenue Cycle Specialist who will take charge of claims management, denial follow-ups, invoicing, reconciliation, and minimizing Accounts Receivable (A/R). This pivotal role ensures the financial stability and operational effectiveness of our practice.This position is intended for experienced professionals; we seek a proactive, analytical, and results-oriented individual who anticipates needs and completes tasks independently.Role Overview:● Medical billing● Claims submission & denial management● A/R reduction● Patient billing support● Revenue cycle optimizationOccasional administrative support will be required, including prior authorizations and call handling.The ideal candidate possesses the following traits:● Detail-oriented● Highly accountable● Solutions-focused● Comfortable with open communication● Results-driven, not sales-drivenCore Responsibilities:Medical Billing & Claims Management:● Accurately and promptly submit insurance claims● Follow up on claim denials and rejections● Resolve billing discrepancies● Track and reduce A/R balances● Reconcile payments with patient invoices● Monitor billing trends and identify patternsRevenue Cycle & Data Analysis:● Analyze billing data to uncover inefficiencies● Review claims performance metrics● Propose process enhancements● Maintain precise billing reports● Ensure adherence to payer requirementsPatient Billing Support:● Manage patient inquiries regarding eligibility and billing● Follow up on delayed or outstanding invoices● Communicate effectively with patients● Address billing issues professionally● Escalate complex matters as neededAdministrative Crossover Support:● Aid with prior authorizations● Assist with inbound call handling during staff shortages● Ensure organized documentationRequired Systems Experience:● Healthy (EHR)● ClaimMD (Clearinghouse)Experience with similar EHR and clearinghouse systems is acceptable. The candidate must be quick to adapt to new systems (cross-training will be provided).Required Qualifications:● 1-2+ years of medical billing experience (healthcare required)● Strong analytical skills● Excellent communication abilities

We are seeking a detail-oriented and proactive Medical Billing Manager to join our dynamic team at Anngrogan Associates Inc. In this role, you will oversee the medical billing department, ensuring accurate and timely processing of billing statements, insurance claims, and patient accounts. You will be responsible for maintaining compliance with healthcare regulations and overseeing staff training.

As a Medical Billing Specialist, you will play an essential role in overseeing the entire billing cycle, encompassing Revenue Cycle Management (RCM) and Accounts Receivable (A/R) functions. Your expertise will be vital in ensuring seamless billing operations through claims processing, denial investigations, and comprehensive billing tasks aimed at maximizing revenue for healthcare providers.Key Responsibilities:Manage Complete Revenue Cycle: Oversee every phase of the billing cycle from claim submission to final payment, ensuring accuracy and efficiency at all stages.Accounts Receivable Oversight: Monitor and manage outstanding bills, proactively following up on claims and resolving collection matters to enhance revenue flow.Claims Denial Analysis: Investigate denied claims, pinpointing errors or necessary adjustments and resubmitting claims with the correct modifications.Claims Management: Handle backend operations related to claim resubmission, confirming accuracy and making necessary corrections to avoid reimbursement delays.Documentation Compliance: Ensure all billing practices adhere to regulatory standards and compliance requirements, including HIPAA regulations.Qualifications:Demonstrated experience in medical billing with a solid understanding of RCM and A/R processes.Familiarity with claim denial management and collections strategies.Excellent command of the English language, both written and verbal.Proficiency in remote office tools, EHR systems, and various communication platforms.Strong customer service orientation and analytical thinking skills.Knowledge of HIPAA regulations and the importance of safeguarding patient information.Exceptional problem-solving abilities with a capacity to work independently.Willingness to work during US time zones (PST, EST, CST).High school diploma or equivalent required.System and Work Setup Requirements:Internet: Minimum speed of 25 Mbps or higher, with a reliable backup connection available for outages.Processor: Intel Core i5 7th Generation or equivalent.Memory: 8 GB RAM.Storage: 256 GB SSD or HDD with at least 50% free space.Webcam: Minimum 720p resolution.Operating System: Windows 10 or later (or equivalent).Audio Equipment: Noise-canceling headset or earphones.Workspace: A quiet, organized workspace free from distractions to ensure productivity.Benefits:Permanent remote work opportunity.

Join the ISTA Solutions Team as a Medical Billing Specialist!We are a premier outsourcing and offshoring company seeking an experienced Medical Billing Specialist to enhance our rapidly growing team. Here at ISTA Solutions, we prioritize employee satisfaction and maintain a healthy work-life balance. We take pride in fostering a culture that emphasizes long-term success and continuous learning. If you are a collaborative team player eager to contribute to our mission, we want to hear from you!Key Responsibilities:Promptly review and process online insurance inquiries.Verify patient insurance benefits and eligibility through payer portals.Document eligibility details accurately from insurance sources.Communicate with insurance providers to ensure coverage accuracy.Acquire proof of eligibility and confirmation numbers.Update internal systems with verified information to maintain accuracy.Adhere to compliance standards with company policies and insurance regulations.

Join our dynamic team at Skilled Wound Care as a Medical Collections Specialist. We are dedicated to providing exceptional healthcare services, and we are looking for an experienced professional to manage our medical collections process efficiently.In this role, you will be responsible for coordinating with healthcare providers, insurance companies, and patients to ensure timely payments and resolve any billing discrepancies. Your attention to detail and strong communication skills will be essential in maintaining positive relationships with all stakeholders.

Role overview ista-2 seeks a Medical Billing Specialist based in Mandaluyong City, Metro Manila. This role centers on processing billing for US healthcare insurance claims. Strong attention to detail and adherence to industry standards are important for success in this position. What you will do Handle billing activities for US healthcare insurance claims Maintain accuracy across all billing documentation Comply with industry standards and regulatory requirements Requirements Careful, detail-oriented work style Interest in healthcare and insurance processes Compensation Competitive salary $21,000 signing bonus

Rentokil InitialRentokil Initial is a global leader in business services, employing over 64,800 dedicated professionals across 90 countries. Our mission is to protect people and enhance lives, emphasizing pest control and hygiene improvement. With a commitment to excellence, we invest heavily in training, scientific research, innovation, and cutting-edge technology. Our culture is built on listening to feedback and acting on it to support our colleagues and customers. At Rentokil Initial, we uphold the principles of equality and fairness as fundamental rights for all employees, and we embody our core values of Service, Relationships, and Teamwork, as identified by our global workforce.AwardsRentokil Initial Philippines has been recognized as one of the top three most engaged workplaces in the Philippines, according to the Korn Ferry Employee Engagement Awards 2018.We also proudly received the Philippine Best Employer Brand Awards 2019.Explore more about us at careers.rentokil-initial.com

Panoptyc develops technology that helps retailers reduce loss by combining visual AI with human expertise. Their solutions are used in more than 15,000 retail locations across the United States, supporting both major chains and independent businesses. The team operates fully remotely and continues to grow, welcoming colleagues from many locations. This Billing and Operations Specialist position is fully remote and based in the Philippines. The role centers on accurate financial processing and broad operational support as Panoptyc expands. Responsibilities span invoicing, purchase order management, payroll tracking, and monthly financial tasks. There is also the chance to improve workflows and help maintain systems that track team performance. Main Responsibilities Process financial transactions precisely and on schedule to support daily operations. Identify and implement improvements to operational workflows, keeping performance tracking systems current across teams. Manage daily invoice and subscription processing, and prepare financial reports. Check invoices for accuracy, completeness, and validity. Track and manage purchase orders efficiently. Oversee subscription billing, including handling account acquisitions and transfers. Support processes for account acquisition and renewal management. Prepare credit memos, estimates, and customer quotes as needed. Update and monitor weekly performance metrics and reports. Assist with month-end closing activities, including recurring and ad hoc invoicing, as well as system and location updates. Collaborate with Invoicing and Fulfillment teams to keep billing operations accurate and efficient. Take on additional operational and financial tasks as required.

Sangoma Technologies, a premier provider of business communication solutions, is seeking a meticulous and detail-oriented Billing Specialist to become an integral part of our finance team. With over 40 years in the industry, we pride ourselves on our innovative UCaaS solutions and our commitment to delivering exceptional customer satisfaction through precise billing practices. In this role, you will be tasked with ensuring timely and accurate invoicing, effectively managing billing inquiries, and providing support to our clients regarding their billing needs. If you excel in numerical accuracy and have a passion for outstanding customer service, we invite you to apply!Your Role:Generate and dispatch precise customer invoices promptly, adhering to company guidelines.Oversee billing modifications, credit notes, and account reconciliations as required.Examine accounts for inconsistencies and swiftly address issues to ensure client satisfaction.Manage customer billing queries and offer detailed explanations of charges and billing procedures.Maintain organized records of billing transactions and prepare regular reports for management.Collaborate with sales and customer service teams to collect necessary information for billing accuracy.Contribute to the enhancement of billing processes to improve efficiency and precision.

Join FGC+ as an Operations Manager in Medical Billing, where you will play a pivotal role in advancing both our company's and our clients' success. As a leader with extensive experience in operations management, particularly in the BPO sector, you will oversee a dedicated team of Medical Billing and Claim Specialists, ensuring stellar service delivery while promoting a productive and compliant work environment.Your responsibilities will include managing client relationships, meeting operational and quality expectations, and continuously seeking improvement opportunities. Your leadership will inspire your team to thrive, balancing business needs with exceptional customer service to create a collaborative atmosphere at FGC+.

We are looking for a meticulous and driven Senior Accountant - Billing Specialist to take charge of our comprehensive customer billing processes. This pivotal role is essential for ensuring precise invoicing, prompt collections, and effective collaboration with our Sales, Customer Success, and Finance teams. The perfect candidate will possess a robust background in billing and accounts receivable, thrive in a dynamic environment, and excel in maintaining clear communication with both internal teams and customers.This position offers a permanent work-from-home arrangement, aligned with U.S. business hours.Key Responsibilities: Manage the entire customer billing cycle, which includes invoice generation, validation, and submission via customer portals. Address customer billing inquiries and resolve disputes quickly and professionally. Oversee accounts receivable (AR) aging and lead proactive collection efforts to ensure a healthy cash flow. Work closely with Sales and Customer Success teams to tackle billing and collections issues. Conduct monthly billing cycles, managing both subscription and usage-based invoicing. Perform weekly AR aging reviews and follow up on overdue invoices as necessary. Compile monthly billing and collections metrics for internal reporting and assist with month-end closing processes related to AR and bad debt. Independently execute scheduled and ad hoc billing runs, including invoices for new contracts. Engage directly with customers to manage overdue accounts and clarify invoice queries. Requirements: Demonstrated experience in billing and accounts receivable; prior experience in a SaaS or recurring revenue business model is highly preferred. Proficient in billing tools such as NetSuite (SuiteBilling and ARM), Salesforce, Celigo, and Excel; while NetSuite experience is advantageous, quick learners with a strong billing systems background are also encouraged to apply. Exceptional attention to detail with outstanding organizational and time management capabilities. Ability to manage sensitive customer communications with professionalism and assurance. Strong analytical abilities with proficiency in preparing clear and accurate billing reports. Capability to work autonomously while effectively collaborating with cross-functional teams.

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 Turnitin LLC as a Billing Specialist on a 12-month fixed contract. In this role, you will be responsible for managing billing processes, ensuring accuracy in invoicing, and providing exceptional support to our clients. Your attention to detail and strong analytical skills will be vital in maintaining our billing integrity.As a part of our remote team, you will collaborate with colleagues across the globe, contributing to our mission of promoting academic integrity.