Job Description

Join a busy specialty practice and own the full revenue cycle—coding, clean claims, follow-ups, and patient A/R—while keeping us compliant.

What you’ll do

• Assign accurate codes (CPT/HCPCS, ICD-10; DRG familiarity) from clinical documentation.
  

• Submit, track, and reconcile electronic and paper claims; resolve rejections/denials (EOB/ERA).
  

• Manage A/R: timely follow-up on unpaid claims; patient billing and payment plans.
  

• Verify eligibility/benefits and obtain/refine authorizations as needed.
  

• Maintain precise records in EMR/EHR and billing software; produce RCM reports.
  

• Partner with clinicians/front desk to fix documentation or coverage discrepancies.
  

• Safeguard PHI and uphold all privacy/security standards.
  

Required

• Recent experience in medical billing/coding and/or collections within a medical practice.
  

• MediClear (or equivalent HIPAA compliance certification).
  

• Working knowledge of medical terminology, EMR/EHR workflows, and claims lifecycles.
  

• Detail-driven, organized, strong written/verbal communication with patients, payers, and providers.
  

Preferred

• Experience with specialty billing (allergy/asthma or similar outpatient).
  

• Hands-on with clearinghouses, eligibility tools, and common practice management systems.
  

• Denial prevention/root-cause analysis and RCM KPIs.
  

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