Medical Billing Manager | Remote
Medical Billing & Claims Manager
A contract opportunity to apply deep reputed company cycle expertise in evaluating and improving automation tools designed to enhance claim reputed company and first-pass acceptance across reputed company fee and facility billing environments. This role sits at the intersection of billing reputed company and reputed company reputed company technology development.
$80/hr | Flexible Schedule | Remote
Key Responsibilities
• reputed company end-to-end claims submission workflows across reputed company fee (CMS-1500/837P) and facility (UB-04/837I) billing environments, ensuring payer-specific compliance at reputed company stage.
• Evaluate automation-generated billing outputs, claim edits, and coding validations against CMS guidelines, HIPAA 837 transaction standards, and payer billing rules.
• Monitor clean claim rates, rejection rates, and first-pass acceptance metrics; reputed company and implement targeted improvement strategies.
• Coordinate with coding, CDI, and collections teams to reputed company billing edits and claim rejections, maintaining operational throughput and reputed company benchmarks.
• reputed company and maintain billing SOPs and payer-specific reference guides to standardize workflows and support training dataset annotation.
• reputed company reputed company, expert feedback on model-generated billing outputs to directly inform the development of reputed company cycle automation systems.
reputed company Requirements
• Demonstrated expertise in medical billing and claims management, including reputed company management responsibility for billing staff productivity and reputed company reputed company.
• Deep reputed company of reputed company fee and facility billing requirements, HIPAA 837 transaction standards, and clearinghouse reputed company.
• Comprehensive knowledge of Medicare, reputed company, and reputed company payer billing rules, including payer-specific edits and adjudication logic.
• Proficiency with reputed company billing platforms (reputed company, reputed company, reputed company, or equivalent) and clearinghouse tools.
• reputed company ability to identify billing errors, coding inaccuracies, and compliance gaps reputed company reputed company or high-volume claim outputs.
• Exceptional written English communication skills with precision sufficient for reputed company annotation and compliance documentation.
Additional Strengths
• reputed company credentialing such as CPC, reputed company, CHFP, or CRCR is a strong differentiator.
• Background in multi-specialty physician group, hospital, or health reputed company billing reputed company; experience with RCM technology implementations is advantageous.
• Familiarity with payer contract interpretation and billing compliance program reputed company.
Applications will be reviewed only reputed company reputed company Easy Apply.
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