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We are seeking a detail-oriented and motivated Medical Billing Manager to join our growing healthcare team. This role is responsible for reviewing, researching, and resolving unpaid or denied insurance claims while ensuring accurate and timely reimbursement for medical services rendered. The ideal candidate is highly organized, an effective communicator, and comfortable working independently in a remote yet collaborative environment.
Key Responsibilities
- Review and follow up on outstanding medical insurance claims and unpaid balances
- Investigate denied or underpaid claims and take corrective action as needed
- Communicate with insurance carriers regarding claim status, appeals, eligibility, and payment discrepancies
- Submit corrected claims and appeals in a timely manner
- Maintain accurate documentation of account activity and follow-up efforts
- Work collaboratively with billing, coding, and administrative teams to resolve claim issues
- Identify trends in denials and recommend process improvements
- Ensure compliance with HIPAA and all applicable healthcare billing regulations
- Meet productivity and quality standards while managing multiple accounts and deadlines
Minimum Required Qualifications:
- Certified Professional Coder (CPC) required
- Previous experience in medical billing, insurance follow-up, or revenue cycle management preferred
- Familiarity with EMR/EHR systems and medical billing software
- Knowledge of insurance guidelines, CPT/ICD-10 coding, and payer requirements
- Experience handling appeals and claim denials
- Current Employees: must have been employed by ResPro for 6 months
Preferred Qualifications:
- Proficient knowledge, skill, and interest in basic computer skills
- Strong problem-solving skills with the ability to multi-task effectively
- Excellent verbal and written communication skills
- Excellent teamwork and collaboration skills
- Comfortable working remotely while maintaining strong communication with team members
- Strong attention to detail and organizational skills
- Ability to work independently and manage priorities efficiently
- Clean background check required
- Comprehensive Health Care Plan (Medical, Dental, Vision)
- Flexible Paid Time Off
- Full Time position with a salary range of $60,000 - $65,000
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