[Hiring] Certified Medical Biller and Coder @RCM Staff LLC

Role Description

This is a remote position.

RCM Staff BPO is hiring full-time AAPC-Certified Medical Billers and Coders to support U.S. medical billing companies and physician practices. You will own insurance claims from start to finish, which includes:

• Coding encounters
• Creating and submitting claims
• Following up on unpaid claims
• Working on denials and appeals
• Keeping every account clearly documented

This role requires an active AAPC certification, strong attention to detail, consistent follow-up, and experience working with U.S. health insurance plans.

Qualifications

• Active AAPC certification (CPB, CPC or COC); a copy of your certificate is required to be considered
• At least 2 years of experience with U.S. healthcare insurance billing and A/R follow-up
• Hands-on experience with denials, appeals, EOBs, ERAs and timely filing requirements
• Familiarity with commercial insurance and government health plans
• Experience using payer portals, clearinghouses and practice management systems
• Strong written and spoken English, including phone calls with U.S. insurance companies
• Excellent attention to detail and follow-up skills
• Ability to work independently and manage multiple patient accounts
• Reliable internet connection and a suitable remote workspace

Requirements

• Review assigned accounts, new denials, payer correspondence and scheduled follow-ups each day, prioritizing filing deadlines, older claims and high-dollar balances
• Assign CPT, ICD-10-CM and HCPCS codes and modifiers from provider documentation
• Complete charge entry and submit clean claims through the clearinghouse
• Follow up on unpaid claims through payer portals and phone calls, obtaining reference numbers and expected resolution dates
• Identify the cause of denials and rejections, then submit corrected claims, reconsiderations and appeals before deadlines
• Submit requested medical records securely and keep proof of submission
• Review payments and balances for underpayments, posting errors and secondary insurance before transferring patient responsibility
• Document every account with the issue, action taken, payer response, reference number and next follow-up date
• Escalate unresolved accounts, approaching deadlines and recurring denial patterns to the billing team
• Protect patient information and follow HIPAA requirements

Benefits

• Full-time position
• Must be available during U.S. business hours (Eastern Time)
• Final schedule will be determined based on practice needs

Work Arrangement

• Remote
• Philippines-based applicants preferred