Medical Biller – Full Cycle Revenue Cycle Management, Internal Medicine, Pediatrics

Staffing For Doctors

. Manage the complete revenue cycle for an Internal Medicine and Pediatrics practice with Obesity Medicine and Nutrition subspecialties .

Posted 9/22/2026full-timeRemote • PhilippinesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing the complete revenue cycle for medical practices, with a strong focus on claim submissions, denial management, and patient collections. Proficient in coding standards and regulations, ensuring compliance with HIPAA and effective communication with payers and patients.

Highest-signal resume keywords

Full-Cycle Medical Billing ExperienceCPT, HCPCS, ICD-10 Coding ProficiencyEClinicalWorks (eCW) ExperienceDenial Management and Appeals ExpertiseHIPAA Compliance Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claim SubmissionsPayment PostingA/R Follow-UpDenial ResolutionEligibility VerificationPrior Authorization ManagementCoding AccuracyPatient CollectionsWorkflow OptimizationInsurance Billing

Soft Skills

Exceptional Written CommunicationStrong Verbal CommunicationProblem-SolvingAttention to DetailCustomer Service Orientation

Tools & Technologies

EClinicalWorks (eCW)Telzio VOIPDigital Fax Management

Industry Keywords

Internal MedicinePediatricsObesity MedicineNutritionRevenue Cycle Management (RCM)Patient Privacy Laws

Tech Stack

Tools & technologies

VoIP

About the role

Key responsibilities & impact

Manage the complete revenue cycle for an Internal Medicine and Pediatrics practice with Obesity Medicine and Nutrition subspecialties
Review charges and claims for billing accuracy and validate CPT, HCPCS, and ICD-10 coding
Submit clean electronic claims, monitor clearinghouse statuses, and correct and resubmit rejected claims
Post insurance EOBs/ERAs and patient payments accurately and balance posting logs daily
Investigate denial codes, resolve root causes, resubmit claims, and prepare appeal packages with clinical documentation
Track appeals through resolution and recommend workflow changes based on recurring denial patterns
Work aging reports for unpaid or underpaid claims and contact payers to resolve balances
Manage patient statements, payment plans, collection inquiries, and resolution documentation in the EMR
Verify insurance eligibility, deductibles, copays, coinsurance, network status, and coordination of benefits
Identify services, procedures, and medications requiring prior authorization and submit supporting documentation
Track authorization requests, maintain expiration dates, and handle authorization-related appeal escalations
Monitor electronic faxes for payer determinations, authorization approvals, and claim correspondence; route and document paperwork in eClinicalWorks
Handle inbound and outbound billing calls with payers and patients using the Telzio VOIP system

Requirements

What you’ll need

Minimum of 3+ years of hands-on, full-cycle U.S. medical billing and RCM experience
Extensive background in claim submissions, A/R follow-up, payment posting, complex denial/appeals workflows, patient collections, and eligibility/prior auths
Strong proficiency with standard CPT, HCPCS, ICD-10 coding, and modifier usage
Exceptional written and spoken English skills; comfortable calling insurance representatives and speaking with patients
Thorough understanding of HIPAA regulations, patient privacy laws, and medical records handling
Recent, hands-on experience using eClinicalWorks (eCW), with minimal system-specific training
Billing experience in Internal Medicine, Pediatrics, or specialized Obesity Medicine / Weight Management / Nutrition practices
Prior success securing approvals and managing denials for weight-management and chronic disease medications
Familiarity with Telzio VOIP or similar softphone applications and digital fax management workflows