Job Overview:

The Medical Biller is responsible for ensuring the timely collection of outstanding unpaid claims, addressing insurance denials, and resolving outstanding balances from various insurance companies. This role requires a strong understanding of medical billing processes, insurance guidelines, and exceptional communication skills to effectively resolve payment issues.

Schedule:

• Monday to Friday, 8:00 AM - 5:00 PM  Pacific time, with 1hr unpaid break (40 hours per week)

Independent Contractor Perks:

• Permanent work from home
• Immediate hiring
• Health Insurance Coverage for eligible locations

Responsibilities:

• Follow up on outstanding medical claims and patient balances.
• Contact insurance companies to resolve denied or delayed claims.
• Appeal and resubmit denied claims as necessary.
• Verify insurance coverage and coordinate benefits with payers.
• Accurately post and reconcile payments, adjustments, and denials received from insurance carriers and patients.
• Investigate and resolve discrepancies in payments, refunds, and account balances.
• Collaborate with the billing and collections team to ensure proper claim resolution.
• Process electronic remittance advice (ERA) and explanation of benefits (EOB) postings.
• Reconcile daily deposits with posted payments to ensure accuracy.
• Maintain compliance with HIPAA and medical billing regulations.
• Document all collection activities and maintain accurate account records.
• Generate reports related to payment trends, reconciliation status, and outstanding balances.

Requirements:

• Must have a nursing background and experience in the US healthcare system
• Minimum of 3 years of experience in medical billing and collections.
• Fluent in both verbal and written English and Spanish 
• Certification in medical billing and coding (CPC) is a plus.
• Strong verbal and written communication skills.
• Proficiency in medical billing software (eClinicalWorks preferred).
• In-depth knowledge of CPT, ICD-10, and HCPCS coding systems.
• Excellent problem-solving and organizational skills.
• Experience using payer websites to assess claim status for collections follow-up.
• Working knowledge of eligibility and authorization processes.
• Proficiency in Microsoft Word and Excel, including data entry, formatting, and basic formulas.
• Ability to work independently and meet collection deadlines.
• Capability to achieve monthly productivity standards.
• Reliable internet and VPN access.

Side Note: Since this is a permanent work-from-home position and the arrangement is that of an “Independent Contractor,” the selected candidates must have their own computer and internet connection. They will handle their own benefits and taxes. The professional fees are on hourly rates and the rate depends on your performance in the application process.

Reminder
Apply directly to the link provided; you will be redirected to BruntWork’s Career Site. You must apply using the said link to complete the initial requirements, which includes pre-screening assessment questions, technical check of your computer, and voice recording.
APPLICATIONS WITH COMPLETE REQUIREMENTS WILL BE PRIORITIZED.