Medical Biller, AR Insurance Collections

MODENA

. Follow up on outstanding insurance claims with commercial payers, Medicare, Medicaid, and managed care organizations .

Posted 11/1/2026full-timeRemote • California • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in medical billing and insurance collections, particularly in allergy and asthma services, with a strong focus on compliance with HIPAA and payer guidelines. Proficient in managing claims, denials, and appeals while achieving productivity and collection targets.

Highest-signal resume keywords

Medical Billing ExperienceInsurance CollectionsCPT, ICD-10-CM, HCPCS CodingCertified Professional Biller (CPB)EMR and Practice Management Systems

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims Follow-UpDenial ManagementAppeals SubmissionPatient Eligibility VerificationBilling ComplianceReimbursement PracticesData AnalysisDocumentation SkillsPayer Correspondence ReviewProcess Improvement

Soft Skills

Analytical SkillsOrganizational SkillsProblem-Solving SkillsVerbal CommunicationWritten Communication

Certifications & Qualifications

Certified Professional Biller (CPB)

Industry Keywords

MedicareMedicaidCommercial InsuranceAllergy TestingImmunotherapyBiologic InjectionsPulmonary Function TestingPrior AuthorizationHIPAA CompliancePayer-Specific Reimbursement Policies

About the role

Key responsibilities & impact

Follow up on outstanding insurance claims with commercial payers, Medicare, Medicaid, and managed care organizations
Investigate and resolve denied, rejected, and underpaid claims related to allergy and asthma services
Submit claim corrections, reconsiderations, and appeals with appropriate documentation
Review Explanation of Benefits (EOBs), Electronic Remittance Advice (ERA), and payer correspondence
Monitor aging reports and prioritize accounts for collection activities
Verify patient eligibility, benefits, referrals, and authorization requirements
Ensure accurate reimbursement for allergy testing, immunotherapy injections, pulmonary function testing, biologic medications, and other specialty services
Collaborate with providers, clinical staff, and front-office personnel to resolve billing discrepancies
Document collection efforts and account activity in the practice management system
Maintain compliance with HIPAA, payer guidelines, and company policies
Identify billing trends, recurring denials, and process improvement opportunities
Meet established productivity and collection goals
Maintain timely follow-up on assigned accounts receivable
Achieve collection and productivity targets
Reduce claim denials and improve reimbursement turnaround times
Ensure accurate and compliant billing practices

Requirements

What you’ll need

High school diploma or equivalent required
Minimum 2 years of medical billing and insurance collections experience, preferably in an Allergy & Asthma, Pulmonary, ENT, or specialty physician practice
Knowledge of medical terminology, CPT, ICD-10-CM, and HCPCS coding
Experience with insurance follow-up, denial management, and appeals
Familiarity with Medicare, Medicaid, commercial insurance plans, and prior authorization processes
Proficiency with EMR and practice management systems
Strong analytical, organizational, and problem-solving skills
Excellent verbal and written communication skills
Dedicated, secure, and distraction-free workspace
Reliable high-speed internet connection
Ability to maintain confidentiality and comply with HIPAA requirements while working remotely
Ability to manage workload independently while collaborating effectively with a remote team
Availability to work Monday through Friday, 8:00 a.m. to 4:30 p.m. Pacific Time
Certified Professional Biller (CPB) or related certification is a plus
Experience billing for allergy testing, immunotherapy, biologic injections, and respiratory-related procedures is preferred
Understanding of payer-specific reimbursement policies for allergy and asthma services is preferred

Benefits

Comp & perks

Competitive compensation
Professional development opportunities
Medical insurance
Dental insurance
Vision insurance
401(k) retirement plan with employer matching
Paid time off (PTO)
Sick time
Floating holidays
Holiday pay
Supportive, mission-focused culture
Opportunity to shape the future of a thriving allergy and asthma practice