About the role
This is a remote position.
Job Summary
RCM Staff BPO is hiring a full-time Medical Billing Data Entry and Accounts Receivable (A/R) Specialist to support a medical billing company based in Pennsylvania. The specialist will start by entering patient demographics, insurance details, charges, and payments from paper and scanned documents into athenahealth and Greenway, then move into insurance A/R follow-up and denial work once the data entry backlog is cleared. This role requires speed with accuracy, strong A/R follow-up skills, and experience working with U.S. health insurance plans.
Key Responsibilities
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
Qualifications
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 Qualifications
A/R experience in Critical Care, Anesthesia, or Pulmonology billing
Experience using athenahealth
Experience using Greenway (Intergy or Prime Suite)
Familiarity with Pennsylvania insurance plans such as Highmark, UPMC Health Plan, and Pennsylvania Medicaid
Schedule
Full-time position
Must be available during Eastern Time business hours
Final schedule will be determined based on practice needs
Work Arrangement
Remote
Philippines-based applicants preferred
Originally posted on Himalayas