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Medical Billing Specialist, Chirotouch
RCM Staff LLC. Review aging reports and follow up on claims unpaid 30 days or more after submission .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in U.S. healthcare insurance A/R follow-up and denial management, with a strong focus on chiropractic billing practices and compliance with HIPAA requirements. Proficient in analyzing denials, preparing appeals, and utilizing payer portals effectively.
Highest-signal resume keywords
Chiropractic Billing ExperienceDenial ManagementAppeals Writing and SubmissionChiroTouch ExperienceKnowledge of Chiropractic Coding Rules
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims AnalysisDenial Trend IdentificationCorrected Claims SubmissionMedical Necessity IssuesModifier KnowledgeRemittance Code AnalysisFollow-Up DocumentationPatient Account ManagementHIPAA ComplianceInsurance Website Navigation
Soft Skills
Attention to DetailStrong Written and Spoken EnglishIndependent Work AbilityFollow-Up SkillsTime Management
Tools & Technologies
Payer PortalsPractice Management SystemChiroTouch
Industry Keywords
U.S. Healthcare InsuranceCommercial InsuranceGovernment Health PlansIdaho Insurance PlansCMT CodesModifier 25AT ModifierNon-Covered ServicesDecompressionCold Laser
About the role
Key responsibilities & impact- Review aging reports and follow up on claims unpaid 30 days or more after submission
- Contact payers by phone, portal and website to check claim status and obtain resolution
- Analyze denials and remittance codes (CARC/RARC) to identify root causes
- Prepare and submit corrected claims, reconsiderations and written appeals with supporting documentation
- Track appeals through final decisions and escalate nonresponsive payers
- Work denied exam and evaluation claims, including modifier and medical necessity issues
- Identify recurring denial trends and report them to the practice for front-end correction
- Document all follow-up activity in the practice management system
- Protect patient information and follow HIPAA requirements
Requirements
What you’ll need- At least 2 years of experience with U.S. healthcare insurance A/R follow-up and denial management
- Chiropractic billing experience required
- Experience writing and submitting appeals and reconsiderations
- Familiarity with commercial insurance and government health plans
- Experience using payer portals and insurance websites
- Strong written and spoken English
- Excellent attention to detail and follow-up skills
- Ability to work independently and manage multiple patient accounts
- Reliable internet connection and a suitable remote workspace
- Experience using ChiroTouch preferred
- Familiarity with Idaho insurance plans, such as Blue Cross of Idaho and Regence BlueShield of Idaho preferred
- Knowledge of chiropractic coding rules, such as CMT codes 98940 to 98942, modifier 25 on same-day exams, the AT modifier for Medicare, and therapy codes for ultrasound, electrical stimulation and massage preferred
- Experience working with non-covered services such as decompression and cold laser preferred
- Must be available during Mountain Time business hours
Benefits
Comp & perks- Opportunity to move to full-time based on performance and practice needs
- Remote work arrangement
- Part-time schedule of 20 hours per week
- Schedule during Mountain Time business hours