Medical Biller

Medical Biller (RPM/CCM Specialist | Home-based)

We are hiring a Remote Medical Biller who specializes in RPM/CCM billing but can also support general medical billing operations for clinics and provider groups. You will play a critical role in ensuring accurate, timely reimbursement for our services and helping our partners maintain strong revenue cycles.

Responsibilities:

RPM/CCM-Specific Billing

• Submit claims for RPM codes (99453, 99454, 99457, 99458) and CCM codes (99490, 99439, 99487, 99489) .
• Validate documentation meets CMS and commercial payer requirements (e.g., 16-day rule, interactive communication, time logs).
• Reconcile patient encounters, time logs, and platform data against billing submissions.
• Track denials or rejections specific to RPM/CCM and resubmit with corrected documentation.
• Provide monthly reports on RPM/CCM revenue performance and outstanding claims.

General Medical Billing

• Process insurance claims for E/M visits, labs, and other services as required by provider offices.
• Verify patient insurance eligibility and benefits before claim submission.
• Post payments, adjustments, and rejections into the billing system/EHR.
• Work accounts receivable (A/R) to reduce outstanding balances and improve cash flow.
• Coordinate with front-office staff and providers on coding, documentation, and claim corrections.

Compliance & Communication

• Stay current with CMS guidelines and payer policy changes for RPM, CCM, and general medical billing.
• Ensure compliance with HIPAA and client confidentiality standards.
• Collaborate with offshore and U.S.-based teams (MAs, RNs, providers, operations) to resolve billing issues.
• Maintain detailed records and audit-ready documentation for all claims.

Qualifications

• Minimum 2 years of experience in medical billing and coding , with at least 1 year in RPM/CCM billing .
• Strong knowledge of CPT, HCPCS, and ICD-10 coding standards.
• Familiarity with major U.S. payers (Medicare, Medicaid, commercial insurance).
• Experience with clearinghouses and EHR systems (MDLand, eClinicalWorks, Epic, or similar).
• Excellent English communication skills (spoken and written).
• High attention to detail and organizational skills.

Work Schedule: Monday to Friday, 9:00 pm to 6:00 am Manila Time

Work Setup: Home-based

• Must have at least 20 mbps for both upload and download speed

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