Medical Billing Specialist

Raventra Healthis a medical services company providing outsourced billing, coding, and claims processing solutions for provider groups and hospitals. As a Medical Billing Specialist, you will manage key stages of the revenue cycle for assigned clients, including charge entry, claim submission, payment posting, and denial resolution. You will help ensure claims are processed accurately, payments are collected efficiently, and billing issues are resolved promptly.

WHAT YOU WILL DO
* Manage charge entry, claim submission, and payment posting for assigned clients
Manage charge entry, claim submission, and payment posting for assigned clients
* Work first-pass denials and resubmit or appeal claims as appropriate
Work first-pass denials and resubmit or appeal claims as appropriate
* Monitor and report on denial rates and billing performance for your assigned accounts
Monitor and report on denial rates and billing performance for your assigned accounts
* Work directly with payer portals and maintain up-to-date payer-specific knowledge
Work directly with payer portals and maintain up-to-date payer-specific knowledge
* Liaise with provider practice managers and client teams to resolve documentation and billing gaps
Liaise with provider practice managers and client teams to resolve documentation and billing gaps
* Meet daily productivity, accuracy, and quality standards
Meet daily productivity, accuracy, and quality standards
* Review claims for billing accuracy and identify issues that could delay reimbursement
Review claims for billing accuracy and identify issues that could delay reimbursement
* Maintain accurate billing records and follow established compliance and documentation procedures
Maintain accurate billing records and follow established compliance and documentation procedures

WHAT WE ARE LOOKING FOR
* 2+ years of experience in medical billing
2+ years of experience in medical billing
* Experience working with multiple insurance payers and payer-specific billing requirements
Experience working with multiple insurance payers and payer-specific billing requirements
* Experience with a practice management or billing system such as Epic, Athena, or eClinicalWorks
Experience with a practice management or billing system such as Epic, Athena, or eClinicalWorks
* Working knowledge of denial codes, claim corrections, and appeal processes
Working knowledge of denial codes, claim corrections, and appeal processes
* Strong attention to detail and ability to manage multiple client accounts and priorities
Strong attention to detail and ability to manage multiple client accounts and priorities
* Ability to communicate effectively with provider teams, payers, and internal stakeholders
Ability to communicate effectively with provider teams, payers, and internal stakeholders
* HIPAA-compliant private workspace and ability to work effectively in a fully remote environment
HIPAA-compliant private workspace and ability to work effectively in a fully remote environment

NICE TO HAVE
* CPB certification

CPB certification
* Experience with specialty-specific medical billing
Experience with specialty-specific medical billing
* Experience working in multi-payer environments
Experience working in multi-payer environments
* Experience with accounts receivable follow-up
Experience with accounts receivable follow-up

COMPENSATION AND BENEFITS

Compensation will be discussed during the interview and will reflect the candidate’s experience, qualifications, and relevant medical billing expertise.

Benefits and additional employment details will be discussed during the hiring process.

HIRING PROCESS

Application review → introductory conversation → practical assessment → hiring manager interview → offer.

EQUAL OPPORTUNITY

Raventra Health is an equal opportunity employer. We consider all qualified applicants without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic. If you need an accommodation at any stage of the process, please contact us and we will work with you to provide appropriate support.

Location:Remote

Originally posted onHimalayas