Horizon Recovery was looking for a Medical Biller

About the Role We are searching for a meticulous and skilled Medical Billing Specialist to enhance our Revenue Cycle Management (RCM) team. The preferred candidate will possess extensive expertise in medical billing, claims evaluation, and payment reconciliation within healthcare or medical equipment environments. This position demands precision, meticulousness, and a proactive strategy for maintaining clean claims, addressing denials, and ensuring prompt reimbursement. Key Responsibilities Claims & Payment Management - Analyze and resolve insurance eligibility challenges daily to guarantee accurate claim submissions. - Ensure data precision of insurance identifications and system uploads, confirming document clarity and integrity. - Systematically track and clear designated claim statuses on a daily basis. - Investigate and resolve claims exceeding 90-day aging, emphasizing outstanding receivables. - Process unposted transactions and manage correspondence platforms to facilitate timely reconciliation. - Provide supplementary support for pre-collection processes during high-volume periods or staffing gaps. Payment Reconciliation - Evaluate and align payments from specified financial platforms across a 13-month period. - Execute comprehensive zero payment report assessments, validating prior month system adjustments. - Support reconciliation efforts for medical equipment and alternative payment methods. Remote Therapeutic Monitoring (RTM) Billing - Coordinate monthly RTM billing processes in alignment with billing leadership. - Invoice previous month's technical procedures for specific patient categories. - Maintain comprehensive and accurate patient tracking documentation. Reporting & Analysis - Generate and submit monthly financial documentation, including system-recorded charges and payments. - Monitor and report on: - Practitioner productivity metrics - Claims processing performance indicators - Remote therapeutic monitoring compensation - Zero payment documentation - Equipment and alternative payment reconciliation Qualifications - Minimum 2+ years experience in medical billing or revenue management - Comprehensive understanding of claims processing and denial management - Proficiency with healthcare management software platforms - Skilled in interpreting financial documents and payment codes - Exceptional detail-orientation and autonomous work capabilities - Advanced spreadsheet and data management competencies - Collaborative communication and analytical skills Full-time role Up to $8/hr 100% Remote job