Remote
- Prepare, review, and submit accurate medical claims to insurance companies electronically and manually.
- Monitor and follow up on unpaid or delayed claims within the standard billing cycle timeframe.
- Correct and re-submit rejected or denied claims after verifying and resolving issues with payers.
- Work with the coding team to ensure accurate CPT, ICD, and modifier usage before claim submission.
- Maintain detailed records of all billing and payment activities in the billing system.
- Identify billing errors, underpayments, or trends affecting reimbursement and escalate as needed.
- Stay current with payer guidelines, insurance policies, and updates in medical billing codes.
- Ensure strict adherence to HIPAA compliance and patient data confidentiality.
- Coordinate with AR, Payment Posting, and Credentialing teams for smooth end-to-end RCM flow.
- Meet or exceed productivity and accuracy targets as defined by management.
- Participate in process improvement initiatives to optimize claim turnaround and reduce denials.
no degree needed
