Remote Medical Biller

12 hours ago

Cabuyao, Philippines Outsourced Quality Assured Services Pty Full time

Overview Remote Medical Biller (RPM/CCM Specialist) at Outsourced. The role involves RPM/CCM billing, general medical billing, compliance, and communication with offshore and U.S.-based teams. Remote, home-based with a strong internet connection and own equipment. 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 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 confidentiality standards. Collaborate with offshore and U.S.-based teams 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). Strong English communication skills (spoken and written). High attention to detail and organizational skills. Reliable internet connection and secure remote work setup. Key Skills RPM/CCM reimbursement workflows Claims submission and follow-up Accounts receivable management Denial management and resubmission Payer policy interpretation Data reconciliation and reporting Work Information Work Schedule: 9:00 PM - 5:00 AM Manila Time Work Location: Home-based Requirements: Strong internet connection (minimum 20 MBPS); own laptop/PC (minimum i5, 8GB) Notes Note: A background check is conducted on all hired candidates. Please ensure required documents are prepared and submitted promptly. By clicking the "I'm Interested" button you authorize Outsourced to store and process your personal information for employment purposes for up to 1 year. #J-18808-Ljbffr

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