Job description
We are seeking a detail-oriented and motivated Medical Billing Manager to join our growing healthcare team. This role is responsible for reviewing, researching, and resolving unpaid or denied insurance claims while ensuring accurate and timely reimbursement for medical services rendered. The ideal candidate is highly organized, an effective communicator, and comfortable working independently in a remote yet collaborative environment.
Key Responsibilities
Review and follow up on outstanding medical insurance claims and unpaid balances
Investigate denied or underpaid claims and take corrective action as needed
Communicate with insurance carriers regarding claim status, appeals, eligibility, and payment discrepancies
Submit corrected claims and appeals in a timely manner
Maintain accurate documentation of account activity and follow-up efforts
Work collaboratively with billing, coding, and administrative teams to resolve claim issues
Identify trends in denials and recommend process improvements
Ensure compliance with HIPAA and all applicable healthcare billing regulations
Meet productivity and quality standards while managing multiple accounts and deadlines
Requirements
Minimum Required Qualifications:
Certified Professional Coder (CPC) required
Previous experience in medical billing, insurance follow-up, or revenue cycle management preferred
Familiarity with EMR/EHR systems and medical billing software
Knowledge of insurance guidelines, CPT/ICD-10 coding, and payer requirements
Experience handling appeals and claim denials
Current Employees: must have been employed by ResPro for 6 months
Preferred Qualifications:
Proficient knowledge, skill, and interest in basic computer skills
Strong problem-solving skills with the ability to multi-task effectively
Excellent verbal and written communication skills
Excellent teamwork and collaboration skills
Comfortable working remotely while maintaining strong communication with team members
Strong attention to detail and organizational skills
Ability to work independently and manage priorities efficiently
Clean background check required
Benefits
Comprehensive Health Care Plan (Medical, Dental, Vision)
Flexible Paid Time Off
Full Time position with a salary range of $60,000 - $65,000
Originally posted on Himalayas
Who can apply
Eligible countries: United States. Accepted UTC offsets: UTC-10, UTC-9, UTC-8, UTC-7, UTC-6, UTC-5, UTC+14. Review the full description for employer-specific work authorization, residency and schedule requirements.