Revenue Cycle Specialist (Medical Billing)

Job Title: Revenue Cycle Specialist (Medical Billing)

Position type: Full-Time

Work hours: 8:00 AM to 5:00 PM Mountain Daylight Time

Work days: Monday to Friday

Salary: $5 - $7 per hour, depending on experience

Job code: EO-NP

Workplace: Remote

Preferred Candidate Location: Philippines

About Our Client

Our client is a growing psychiatry practice focused on delivering high-quality mental health care while maintaining efficient and accurate revenue cycle operations. They are seeking a highly analytical and detail-oriented Revenue Cycle Specialist (Medical Billing) to take ownership of insurance billing workflows and ensure claims are processed efficiently from submission through resolution.

This role is primarily focused on revenue cycle management, including submitting insurance claims, verifying eligibility, managing denied claims, and following up with insurance companies to resolve outstanding accounts. The ideal candidate is comfortable working with numbers, identifying billing trends, and persistently communicating with insurance companies to ensure timely reimbursement.

You will play a key role in reducing accounts not received (ANR) and improving the overall efficiency of the practice’s billing operations. Success in this role requires attention to detail, persistence in claim follow-ups, and the ability to work independently with minimal supervision.

While the position is primarily billing-focused, you may occasionally support basic administrative tasks such as answering phones, assisting with scheduling, or responding to patient inquiries when front desk support is needed. These secondary tasks will generally make up 10–20% of the workload, while the majority of time will be dedicated to billing and revenue cycle management activities.

Scope of Work / Responsibilities

Primary Responsibilities

• Submit insurance claims accurately and in a timely manner
• Verify insurance eligibility before claim submission
• Follow up with insurance companies on outstanding claims
• Manage denied claims and handle resubmissions when necessary
• Reduce accounts not received (ANR) and unresolved claims
• Navigate insurance billing portals and clearinghouses
• Support revenue cycle workflows within the practice’s EMR system
• Maintain accurate documentation of claim status and follow-ups

Secondary Responsibilities

• Answer patient inquiries related to billing questions
• Assist with appointment scheduling and reminders when needed
• Provide overflow front desk support if required
• Support small administrative tasks related to billing and patient communication

Administrative tasks will typically account for 10–20% of the workload, with the majority of time focused on billing operations.

Top 3 Priorities

• Submitting insurance claims and verifying eligibility
• Following up on outstanding and denied claims
• Reducing accounts not received (ANR) and improving billing efficiency

Key Performance Indicators (KPIs)

• Less than 10% claim denial rate
• Less than 10% outstanding claims at the end of each month
• Improved billing efficiency and reduction of unresolved claims

Requirements:
Required Skills & Experience

• Strong analytical and data-oriented mindset
• Comfortable working with numbers and identifying billing patterns
• Highly detail-oriented with strong organizational skills
• Proactive and self-motivated
• Assertive and persistent when communicating with insurance companies
• Able to work independently with minimal supervision
• Quick learner who does not require repeated instructions
• Prior experience as a Medical Billing Specialist, Medical Biller, or Medical Administrative Assistant with billing responsibilities
• Experience in medical billing and revenue cycle management (RCM) strongly preferred
• Coding experience is a plus but not required

Technical & System Experience

• Experience using Helthie EHR is preferred
• Familiarity with EMR/EHR systems (training will be provided if needed)
• Experience with insurance billing portals and clearinghouses
• Experience using Google Workspace
• Experience with VoIP phone systems is helpful

Ideal Candidate Traits

The client values team members who are:

• Analytical
• Proactive
• Detail-oriented
• Self-motivated
• Comfortable working independently
• Persistent when communicating with insurance companies

Basic requirements

• Must be proficient in speaking and writing English very clearly
• Must have relevant work experience
• Be able to submit an NBI clearance and/or Local Police Clearance background check before onboarding [mandatory]
• Must be available for video meetings with your camera on (when needed)

Technical requirements

• Device: Reliable laptop or desktop computer.
• Internet: High-speed connection (minimum 10 Mbps).
• Audio: Noise-canceling headset.
• Video: Webcam for virtual meetings.
• Workspace: Quiet, professional environment.

Benefits:
• Dedicated HR & Contractor Support Team: Access to world-class support for questions, guidance, contract matters, and client communication.
• Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks.
• HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients.
• Top 1% VA Performance Training: Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention.
• Client-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the client’s needs and schedule.
• Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and only if offered by the client.
• Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best.
• Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on your performance.

These are optional resources and client-approved allowances available to you as an independent contractor. Any resources, trainings, or allowances listed are optional contractor perks and not employee benefits.