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!

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.

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 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 that billing is completed in compliance with healthcare regulations. Your expertise will help streamline operations and improve the overall patient experience.

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.

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!

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.

The Claims and Support Specialist role at Amazon focuses on supporting seller and vendor operations by handling claims and disputes. This remote position calls for strong organizational skills and close attention to detail, as tasks involve working with client systems, following precise procedures, and managing sensitive information. Main responsibilities Submit claims for Amazon seller and vendor accounts, ensuring accuracy and efficiency throughout the process. Monitor the progress of each claim, track their status, and follow up to ensure timely resolution. Handle disputes by gathering and providing all required documentation. Use Microsoft Excel to enter and manage data related to claims and disputes. Carefully follow detailed instructions and Standard Operating Procedures (SOPs) for each claim submission. Keep organized records of all claims, supporting documents, and communications. Share clear, timely updates with internal teams or clients as needed. Role overview This position is fully remote, based in Region XII, Philippines. Success in this role depends on patience, accuracy, and the ability to manage multiple claims at once, while maintaining clear communication and thorough documentation.

Job Title: Home Claims Specialist - Remote PositionJob Description: We are looking for a meticulous and experienced Home Claims Specialist to aid policyholders in assessing and negotiating property insurance claims. The ideal candidate will possess a robust background in insurance, exceptional analytical abilities, and a dedication to advocating for clients to secure equitable compensation for their losses.Key Responsibilities: Assess insurance policies to determine coverage and evaluate claim validity Perform comprehensive investigations and document claims, including site inspections and interviews Prepare and submit detailed claim reports and documentation to insurance companies Negotiate settlements with insurance representatives on behalf of policyholders Offer expert guidance to clients throughout the claims process, ensuring they are informed about their rights and options Keep detailed records and documentation of all claims-related activities Stay current with industry regulations, trends, and best practices to effectively represent clients Qualifications: Bachelor’s degree in Business, Finance, Insurance, or a related field At least 3-5 years of experience as an insurance adjuster, particularly in public adjusting Thorough understanding of insurance policies, coverage, and claims processes Strong analytical and investigative skills Excellent negotiation and communication skills Detail-oriented with exceptional organizational and time management skills Proficient in relevant software and technology tools Preferred Skills: Professional certification such as Certified Professional Public Adjuster (CPPA) or Senior Professional Public Adjuster (SPPA) Experience in managing complex property claims

Join our dynamic team at berryvirtual as a Dental Administrative Assistant. In this crucial role, you will provide exceptional support to healthcare providers while ensuring smooth operations in a medical office setting. We seek a candidate who is not only organized and detail-oriented but also possesses a strong commitment to patient confidentiality and compliance with HIPAA regulations.Key Responsibilities: Appointment Scheduling: Efficiently coordinate and manage schedules for healthcare providers and patients, optimizing the use of time and resources. Patient Communication: Act as a liaison between patients and healthcare providers, facilitating effective communication, scheduling follow-ups, and addressing inquiries. Documentation Management: Maintain accurate and current medical records, ensuring compliance with relevant regulatory standards. Billing and Coding Support: Assist in accurate coding for billing purposes and collaborate with the billing department to resolve discrepancies. Prescription Management: Oversee prescription refills and coordination with pharmacies, ensuring timely access to medications for patients. Team Collaboration: Actively participate in virtual team meetings, leveraging communication tools to enhance collaboration. Data Entry: Accurately input patient data and medical documentation into electronic health record systems. Insurance Verification: Validate patient insurance coverage and manage authorizations, communicating effectively with insurance providers. Pre-Authorizations: Assist with obtaining necessary pre-authorizations for medical services and follow up on requests to ensure timely approvals.

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.

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.

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.

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.

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.

Role Overview Hive Health is looking for a Medical Adjudication Specialist to join the team in the Pasig office (hybrid schedule). This role focuses on evaluating and processing medical claims, making sure each claim meets accuracy standards and follows established guidelines. The work supports Hive Health’s commitment to reliable, high-quality healthcare services.