Overview
Join our dynamic healthcare team as an Experienced Medical Billing Specialist! In this vital role, you will be the driving force behind accurate and efficient medical billing processes, ensuring seamless revenue cycle management. Your expertise will help translate complex medical procedures into precise billing codes, facilitating timely reimbursements and maintaining excellent patient and provider relationships. If you thrive in a fast-paced environment and have a passion for detail-oriented work, this opportunity is perfect for you to make a meaningful impact in healthcare administration.
(HRS) is a specialized revenue cycle management company focused on optimizing billing processes for private practices, hospitals, and specialty clinics. The team combines automation with personalized service to bring clarity, accountability, and measurable results from patient intake through collections. HRS is known for dedicated account representatives, U.S.-based expert billers and coders, and a commitment to clean claims that reduce denials. By building genuine partnerships with clients, HRS helps increase revenue, streamline workflows, and free healthcare teams to focus on patient care. The company's mission is to simplify the revenue cycle while improving financial performance for its clients.
Role Description
- This full-time, on-site or remote Medical Biller role is based in Smithfield, VA. The Medical Biller will handle daily claim creation, submission, and follow-up for multiple payers, including commercial insurance and government programs.
- Responsibilities include verifying patient coverage, reviewing coding for accuracy, working denials and rejections, and posting payments and adjustments.
- Involves communicating with insurance carriers, collaborating with clinical and administrative staff to resolve billing issues, and maintaining up-to-date knowledge of billing regulations and payer requirements.
- Expected to ensure timely reimbursement, minimize denials, and support clear, accurate financial records.Qualifications
- Candidates should possess strong knowledge of medical terminology and the ability to interpret clinical documentation.
- Candidates should possess expertise in denials management, including identifying root causes and resolving rejected or unpaid claims.
- Candidates should possess working knowledge of ICD-10 coding and its application to claims and reimbursement.
- Candidates should possess practical experience with commercial insurance billing processes and payer policies.
- Candidates should possess familiarity with Medicare regulations, coverage guidelines, and claim submission requirements.
- Additional qualifications include prior medical billing experience (preferably in a healthcare orRCM setting), proficiency with billing software and EHR systems, attention to detail, and strong organizational skills.Effective communication skills, ability to work collaboratively with internal teams and external payers, and a customer-focused mindset toward client practices are beneficial.
- A high school diploma or equivalent is required; a relevant certification in medical billing and coding or related training is required.
Pay: $40,000.00 - $60,000.00 per year
Benefits:
- Flexible schedule
- Health insurance
- Paid time off
- Professional development assistance
Work Location: Remote
