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VI

Medical Biller

Virtualchamps
Posted 6 hours ago
🇺🇸United States🏠Remote📁Healthcare/Clinical
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Schedule: 8 HRS plus 1 HR non-paid break We are looking for an experienced Medical Billing Specialist who can read medical records, manage U.S. healthcare claims, and accurately compare provider estimates, approvals, and final bills. Key Responsibilities Request and review medical bills and records from healthcare providers. Read and understand medical records, diagnoses, procedures, and treatment details. Compare provider estimates and approved procedures against final medical bills. Identify billing errors, missing records, and documentation inconsistencies. Prepare and submit accurate claims to private insurers, Medicare, and Medicaid. Apply and verify ICD-10, CPT, and HCPCS codes. Verify patient eligibility, coverage, and insurance benefits. Track unpaid, delayed, denied, or rejected claims. Investigate denials, correct errors, and resubmit claims. Post payments, adjustments, and denials accurately. Communicate with insurance companies and healthcare providers to resolve billing concerns. Maintain complete and HIPAA-compliant billing documentation. Prepare claim-status, billing, and collection reports. Qualifications Proven experience in U.S. medical billing, claims processing, or revenue cycle management. Strong ability to read and understand medical records. Experience requesting and verifying medical bills and records. Ability to compare provider estimates and approvals with final bills. Strong knowledge of medical terminology, diagnoses, procedures, and treatment workflows. Proficiency in ICD-10, CPT, and HCPCS coding. Knowledge of HIPAA and payer-specific billing requirements. Experience with EMR/EHR platforms, medical billing software, and insurance portals. Strong background in claim follow-up and denial resolution. Excellent attention to detail, organization, and analytical skills. Excellent written and verbal English communication skills.

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