Medical Biller

Job purpose Experienced in end-to-end follow-up and resolution of outstanding patient and insurance balances for U.S. healthcare clients. Skilled in delivering accurate, compliant, and timely cash collection while upholding core principles: customer-first, straightforward communication, respect, humility, and continuous learning. Key Responsibilities: Cash Collection & Follow-Up: Daily follow-up on unpaid/underpaid claims via calls or portals; resubmit corrected claims and appeals within payer time limits; track actions in billing platforms. Account Integrity: Audit 50–75 claims per shift for coding, units, and payer rules; reconcile credit balances. Denial Management: Analyze EOB/ERA codes, assign root-cause categories, and record preventative notes for training and proactive process improvement; reduce denial rate by ≥2 ppt within six months. Eligibility & Authorization: Verify coverage and prior-authorization status before resubmission; log variances for provider feedback. Patient Experience: Resolve patient balance queries within 2 business days via phone/email, maintaining ≥95% CSAT. Compliance & Reporting: Safeguard PHI per HIPAA, SOC 2, and organizational policies; update daily A/R aging dashboard; escalate any >45-day spike to the manager and complete daily checklists before close of shift. Qualifications & Skills: Graduate degree or diploma in commerce, healthcare administration, or equivalent. CPC or CPB certification preferred. Proficient in practice management or RCM platforms (e.g., Athena One, Kareo, eClinicalWorks). Advanced Excel skills (pivot tables & lookups); basic Power BI or similar dashboard exposure. Comfortable with productivity trackers and generative-AI assistance tools. Proactive, takes initiative without hand-holding. Team player; always willing to help colleagues. High attention to detail; targets zero posting errors. Persistent yet respectful communicator with parties. Clear English—spoken and written. Embraces organizational principles in daily behavior. Work Environment: Work from Office: Operates from a dedicated office environment, ensuring a structured and collaborative setting. Night Shift: Committed to working night shifts to align with U.S. healthcare client timelines, demonstrating flexibility and dedication. Show more Show less