Medical Biller

About the Role We are seeking an experienced and detail-oriented Medical Billing Specialist to join our Revenue Cycle Management (RCM) team. The ideal candidate will have a strong background in medical billing, claims review, and payment reconciliation within a clinical or DME setting. This role requires accuracy, attention to detail, and a proactive approach to maintaining clean claims, resolving denials, and ensuring timely reimbursement. Key Responsibilities Claims & Payment Management Review and resolve eligibility issues daily to ensure claims are submitted with correct insurance details. Maintain accuracy of insurance IDs and uploads in Phreesia, verifying legibility and data integrity. Monitor and clear all HOLD and MGRHOLD claims on a daily basis. Review and resolve 90+ day old claims, prioritizing aged receivables. Work on unpostables and manage the correspondence dashboard to ensure timely posting and reconciliation. Support pre-collections in Phreesia as needed, particularly during clinic surges or staff absences. Payment Reconciliation Review and reconcile Optum Pay and ECHO payments from the past 13 months through the current month. Conduct Zero Pay Report analysis, validating adjustments made in Athena from the prior month. Assist with DME and Square Payments reconciliation as part of the monthly reporting cycle. Remote Therapeutic Monitoring (RTM) Billing Manage RTM billing at the start of each month in coordination with the billing lead. Bill for prior month’s setup, download, and counseling for CPAP and INSPIRE patients. Maintain an active RTM patient log and ensure accuracy in billing data. Reporting & Analysis Prepare and submit monthly financial reports, including charges and payments posted in Athena.

Track and report on:

Nurse Practitioner productivity and volume Clean claim rate and denial rate RTM payments Zero Pay reports DME and Square payments Qualifications 2+ years of experience in medical billing or revenue cycle management (RCM).

• Strong understanding of claims processing, eligibility verification, and denial management.
• Experience with AthenaHealth, Phreesia, or similar EHR/PM systems.
• Proficient in interpreting EOBs, payment reports, and denial codes.

Excellent attention to detail and ability to work independently. Strong Excel and data entry skills; able to track and reconcile reports efficiently. Team-oriented with strong communication and analytical skills. This is a full time role Up to $8/hr 100% Remote job