Job Description
Location: Remote (US-based)
We are seeking a Remote Medical Biller, Professional Fee to support outsourced revenue cycle management for multi-specialty physician group clients. This role is responsible for managing professional fee billing, claims follow-up, denial resolution, payer communication, and account documentation in a remote environment.
This position is ideal for an experienced medical biller who understands provider-side billing, can work across multiple systems, and is comfortable owning claim resolution from submission through payment.
Responsibilities:
- Validate professional fee claims, including CMS-1500 forms, codes, modifiers, place of service, and payer-specific requirements
- Submit electronic claims through clearinghouse platforms and resolve front-end rejections in a timely manner
- Work aged accounts receivable queues and follow up with payers through portals and phone communication
- Post ERAs and EOBs accurately, including contractual adjustments, patient responsibility, and write-offs
- Review denial queues, identify root causes, and prepare appeals with supporting documentation
- Verify patient eligibility and coverage through payer portals to help prevent future denials
- Apply CPT, HCPCS, ICD-10-CM, and modifier knowledge to evaluate billing and coding-related issues
- Document account activity clearly, including payer contacts, reference numbers, claim status, and next steps
- Identify recurring payer trends, underpayments, and denial patterns for escalation
- Collaborate with coding, AR, and revenue cycle teams to resolve claim issues
- Support clean-claim performance, timely filing, and reimbursement accuracy
- Maintain compliance with HIPAA, payer rules, and internal billing standards
Qualifications:
- Minimum of 2 years of professional fee billing experience required
- Experience with CMS-1500 claims, accounts receivable follow-up, and denial management required
- Knowledge of CPT, HCPCS II, ICD-10-CM codes, and common modifiers required
- Experience using multiple billing platforms such as Kareo, AdvancedMD, athenahealth, or eClinicalWorks preferred
- Familiarity with clearinghouse platforms such as Availity, Waystar, or Change Healthcare preferred
- Strong understanding of Medicare, Medicaid, and commercial payer billing requirements
- Ability to draft denial appeals and track outcomes across payer types
- Strong documentation, follow-up, and problem-solving skills
- Ability to work independently in a remote environment while meeting productivity expectations
Schedule
- Full-time, remote position
- Monday through Friday standard business hours
- Central time zone availability required
- End-of-month flexibility may be needed based on billing cycle demands
Salary
The salary range for this position is approximately $42,000 – $58,000 annually ($20.19 – $27.88 per hour), based on experience and qualifications.
Interview Process:
Selected candidates will participate in a multi-step interview process, including an initial screening with TalentLNX followed by interviews with department leadership.
Equal Opportunity Employer: TalentLNX is committed to equal employment opportunity and a diverse, inclusive workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.