Virtual Medical Biller with Heavy Denial Management Experience. (Please read the entire job post before responding)

Location: Remote (U.S.-based healthcare billing experience required)
Type: Contract or Full-Time (Specify your preference)
Experience Required: 3+ years in U.S. outpatient/office-based billing

About the Role: (DO NOT APPLY IF YOU DO NOT MEET THE REQUIREMENTS)
We are a U.S.-based healthcare company seeking an END to END Virtual Medical Biller with a heavy emphasis on Denial Management. The ideal candidate will have a proven background in U.S. outpatient/office-based billing, particularly in Family Practice, Internal Medicine, or Pulmonology. Familiarity with leading Practice Management systems like Tebra, Practice Fusion, Practice Suite, or MicroMD is essential.

Applicant is required to have previous denial management experience (minimum 3 years US based experience), a proven track record of 98% accuracy with 1 touch resolution and a minimum of 45-50 claims per day. Applicants must have strong appeal writing capabilities that will be tested.

Key Responsibilities:

Accurately prepare, review, and submit medical claims to insurance companies or government payers

Verify patient insurance coverage and eligibility for services

Follow up on denied or unpaid claims to ensure timely reimbursement

Review and validate CPT & ICD-10 codes, including correct use of Modifiers

Ensure documentation meets compliance and billing accuracy standards

Apply payer-specific guidelines, policies, and Medicare LCD regulations

Maintain a 98% clean claim accuracy rate

Resolve issues with invalid and rejected claims at the clearinghouse level

Confidently communicate with insurance representatives and internal tea ---------- mbers via phone and email

Requirements:

Minimum 3 years of experience in U.S. medical billing (outpatient or office-based)

Direct experience in Denial Management FOR US BASED COMPANY

Proficient with Tebra, Practice Fusion, Practice Suite, and/or MicroMD is preferred

Strong knowledge of Medicare LCDs, insurance policies, and billing best practices

Excellent verbal and written English communication skills

Proactive and able to work independently with minimal supervision

Detail-oriented with strong organizational and problem-solving skills

Competent in basic tools such as email, spreadsheets, and Excel

Committed to confidentiality and upholding patient privacy in all billing procedures

Demonstrated professionalism and patience in customer service interactions

Application Instructions: (RESPONSES THAT DO NOT INCLUDE RESUME OR RESUME LINKS WILL NOT BE CONSIDERED)
To apply: 1. submit your resume with a link or attachment. Only applicants who meet all requirements will be contacted for an interview. 2. Supply at least 1 (one) verifiable US Based work reference

We look forward to welcoming a dedicated, detail-driven professional to our team—someone passionate about accuracy, compliance, and contributing to the smooth operation of our healthcare services.

Apply today and help us uphold excellence in medical billing!