[Hiring] Virtual Medical Biller / Billing Support Specialist @Staffing for Doctors

Role Description

Han Orthopaedics is seeking an experienced, autonomous Virtual Medical Biller / Billing Support Specialist to join our dedicated billing team. In this role, you will take ownership of key revenue cycle management (RCM) functions, including:

• Insurance eligibility verification
• Prior authorizations
• Accounts receivable (A/R) follow-up
• Payment posting
• Claims management within eClinicalWorks (eCW)

The ideal candidate possesses deep expertise in U.S. orthopedic medical billing, CPT/ICD-10 coding, and EOB/ERA analysis, with a persistent follow-through mindset to resolve unpaid claims and secure authorizations efficiently.

Qualifications

• U.S. Billing Experience: 3+ years of direct U.S. medical billing experience spanning verification, prior auths, A/R, posting, and claims.
• Coding & Terminology Knowledge: Mastery of CPT, ICD-10, HCPCS codes, modifier applications, and medical terminology.
• RCM Competency: Strong proficiency in reviewing EOBs/ERAs, working denials, and navigating commercial payor portals.
• Autonomous Execution: Exceptional attention to detail, proactive follow-through, and the ability to work independently with minimal supervision.
• Communication & HIPAA: Excellent written/spoken English and comprehensive knowledge of HIPAA regulations.
• Remote Workspace: Private, HIPAA-compliant office setup with a high-performance computer, primary high-speed internet, backup power/internet, and a headset.

Requirements

• Manage the end-to-end authorization process, ensuring authorization numbers and validity dates are meticulously documented in eCW before patient encounters.
• Audit clearinghouse and payor claim rejections, making timely coding or demographic corrections to ensure rapid clean-claim resubmissions.
• Work A/R aging work queues systematically, contacting commercial and government payors to overturn denied or stalled claims.
• Accurately post line-item payments, contractual adjustments, and deductibles from EOBs/ERAs.
• Maintain complete HIPAA compliance and protect patient financial records across all workflows.

Company Description