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Medical Billing Data Entry, Accounts Receivable Specialist
RCM Staff LLC. Enter patient demographics and insurance information from paper and scanned source documents into athenahealth and Greenway .
About the role
Key responsibilities & impact- Enter patient demographics and insurance information from paper and scanned source documents into athenahealth and Greenway
- Enter charges and create claims, checking for missing or incomplete information before submission
- Post payments and adjustments from ERAs, EOBs, and paper remittances
- Check insurance eligibility and benefits to support accurate registration
- Log missing, unclear, or incomplete documents and route them to the client for resolution
- Follow up on unpaid and underpaid insurance claims through payer portals and phone calls
- Research and resolve denials, including corrected claims and appeals
- Meet the productivity and accuracy targets set by the client
- Document all work clearly in the client's systems and trackers
- Protect patient information and follow HIPAA requirements
Requirements
What you’ll need- At least 2 years of experience with U.S. healthcare insurance and medical billing
- Hands-on experience with insurance A/R follow-up and denial management
- Experience with charge entry, demographic entry, or payment posting
- Familiarity with commercial insurance and government health plans such as Medicare and Medicaid
- Experience using payer portals and insurance websites
- Strong written and spoken English
- Excellent attention to detail and follow-up skills
- Fast, accurate typing and comfort working with high volumes of paper-based source documents
- Ability to work independently and manage multiple patient accounts
- Reliable internet connection and a suitable remote workspace
- Preferred: A/R experience in Critical Care, Anesthesia, or Pulmonology billing
- Preferred: Experience using athenahealth
- Preferred: Experience using Greenway (Intergy or Prime Suite)
- Preferred: Familiarity with Pennsylvania insurance plans such as Highmark, UPMC Health Plan, and Pennsylvania Medicaid
Benefits
Comp & perks- Remote work arrangement
- Full-time employment
- Schedule availability during Eastern Time business hours
- Reliable internet connection and suitable remote workspace required for remote work
- Philippines-based applicants preferred