Medical Biller/AR Specialist
RemoteUnited States or Philippines
United States or PhilippinesRemoteFull Time
Full Time
Job Summary
Submit insurance claims to Medicare, Medicare Advantage, and commercial payers while reviewing them for accuracy before transmission. Perform claim follow-up, resolve denials, and manage aging balances through AR collections and appeals. Post payments, adjustments, and write-offs after reviewing EOBs and ERAs, handling prior authorizations as needed. Communicate with insurers via phone, portal, or fax to clear issues and maintain accurate documentation. Work assigned billing queues daily with minimal training required. This long-term remote role offers a stable workload and growth opportunities within the DME industry.
Required Qualifications
- Minimum 2–3 years of medical billing experience
- Experience with claim submission, claim follow-up, and denial resolution
- Experience with Medicare, Medicare Advantage, or commercial payers
- Ability to review EOB / ERA and determine next steps
- Experience preparing and submitting appeals and reconsiderations
- Comfortable contacting insurance companies to resolve claim issues
- Claim submission
- AR follow-up / collections
- Denial management
- Appeals / reconsiderations
- Reading EOB / ERA
- Timely filing limits
- Claim corrections / resubmissions
Desired Qualifications
- DME billing experience
- CGM / diabetic supplies billing
- Full-cycle RCM experience
- Payment posting experience
- Familiarity with NikoHealth or similar systems
- Clearinghouses (Change Healthcare, Availity, Office Ally, etc.)
- Experience working with insurance claims, including billing, claim follow-up, collections, appeals, or payment posting
- Experience with DME, CGM supplies, Medicare, Medicare Advantage, or commercial insurance plans
- Full-cycle Revenue Cycle Management (RCM) experience
- Hands-on experience in U.S. medical insurance billing
- Work independently
- Understand payer rules
- Require minimal training
Hiring someone like this?
Get your role in front of qualified candidates on Sorce.