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Medical Billing Specialist (BIL)

The Medical Billing Specialist plays a critical role in managing the complete billing cycle, including Revenue Cycle Management (RCM) and Accounts Receivable (A/R). This role ensures efficient billing operations by handling claims, investigating denials, and performing end-to-end billing tasks to optimize revenue for healthcare practices.

Key Responsibilities:

  • End-to-End Revenue Cycle Management (RCM): Oversee the entire billing cycle from claims submission to final reimbursement, ensuring each step is accurately and efficiently managed.
  • Accounts Receivable (A/R) Collections: Track and manage unpaid bills, performing follow-ups on outstanding claims and resolving collection issues to maximize revenue.
  • Claims Denial Investigation and Resolution: Investigate denied claims, identify errors or required corrections, and resubmit claims with appropriate adjustments.
  • Claims Resubmission and Correction: Manage backend tasks related to claim resubmission, verifying accuracy, and implementing corrections as needed to avoid delays in reimbursement.
  • Documentation and Compliance: Ensure all billing activities are documented by regulatory standards and compliance requirements, including HIPAA.
  • Proven experience in medical billing with exposure to RCM and A/R processes.
  • Experience with claim denial management and collections processes.
  • Proficiency in English communication, both written and verbal.
  • Proficient in virtual office tools, EHR systems, and communication platforms.
  • Strong customer service and critical thinking skills.
  • Understanding of HIPAA regulations and the importance of patient data confidentiality.
  • Strong problem-solving skills and ability to work with minimal supervision.
  • Willingness to work in US time zones (PST, EST, CST).
  • High school diploma or equivalent.


System and Work Setup Requirements:

  • A stable and high-speed internet connection preferably 25 MBPS or higher with backup in cases of power interruption or service provider issues.
  • Own PC/laptop with 8GB RAM, and a processor of Core i5 / AMD Ryzen 3 / 2013 Mac equivalent or higher; Windows 10 or above / Catalina 10.15 or newer; with up-to-date web browsers, and security software, 500GB/128 SSD storage
  • Headset/earphone with noise cancellation and webcam at 720p or higher resolution
  • A designated, quiet, and well-organized workspace free from distractions to facilitate focused work
  • Permanent remote work setup
  • Competitive starting rate paid in USD
  • Internet Allowance
  • HMO insurance (PH)
  • Retirement Fund
  • Paid US holidays
  • Paid Vacation and Sick Leaves

Average salary estimate

$55000 / YEARLY (est.)
min
max
$50000K
$60000K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About Medical Billing Specialist (BIL), Berry Virtual

Are you passionate about the world of healthcare finance? Join our dynamic team at a forward-thinking organization as a Medical Billing Specialist! In this pivotal role, you'll be at the forefront of Revenue Cycle Management (RCM) and Accounts Receivable (A/R), ensuring that our healthcare practices operate smoothly and efficiently. Your day-to-day responsibilities will involve meticulous management of the complete billing cycle, from submitting claims to securing reimbursement. Your sharp eye will help you track unpaid bills, communicate with payers, and resolve collection issues. Additionally, you'll take charge of investigating claims denials, identifying errors, and managing the necessary corrections to minimize delays in revenue flow. As a Medical Billing Specialist, you'll also ensure compliance with HIPAA regulations while providing fantastic service to clients. Your strong problem-solving skills and ability to work independently will be crucial as you'll be supported by cutting-edge technology in your permanent remote work environment. We offer a competitive starting rate paid in USD, an internet allowance, HMO insurance, retirement fund, and paid US holidays, vacation, and sick leaves. If you're looking for a role where you can make a meaningful impact and grow within the healthcare finance sector, we want to hear from you!

Frequently Asked Questions (FAQs) for Medical Billing Specialist (BIL) Role at Berry Virtual
What are the main responsibilities of a Medical Billing Specialist at our company?

As a Medical Billing Specialist, your primary responsibilities include overseeing the entire Revenue Cycle Management (RCM), managing Accounts Receivable (A/R) collections, and investigating claims denials. You will perform end-to-end billing tasks, ensuring accurate claims submission while maximizing revenue through diligent follow-ups on unpaid bills.

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What qualifications are required to apply for the Medical Billing Specialist position?

To be considered for the Medical Billing Specialist role, candidates should have proven experience in medical billing, familiarity with RCM and A/R processes, and a strong understanding of claim denial management. Proficiency in English communication, both written and verbal, is essential alongside strong problem-solving skills.

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What does the work environment look like for a Medical Billing Specialist?

The Medical Billing Specialist position is permanently remote, requiring you to have a quiet and organized workspace. You'll need a reliable high-speed internet connection, and you'll be working with virtual office tools and EHR systems to manage your tasks effectively from home.

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What benefits can I expect as a Medical Billing Specialist?

As part of our team, Medical Billing Specialists enjoy a competitive starting rate paid in USD, an internet allowance, HMO insurance, a retirement fund, and paid US holidays, vacation, and sick leaves, ensuring a balanced work-life experience.

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Is there a specific work schedule for the Medical Billing Specialist role?

Yes, the Medical Billing Specialist will need to be available to work in US time zones, including PST, EST, and CST. Flexibility in scheduling can help ensure timely communication and operations within our healthcare practices.

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Common Interview Questions for Medical Billing Specialist (BIL)
What steps do you take to ensure accurate claims submission?

When outlining your approach to accurate claims submission, emphasize your attention to detail, thorough understanding of coding and billing requirements, and the importance of verifying patient information before submission to reduce errors.

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How do you handle denied claims efficiently?

Discuss your systematic approach in investigating denied claims by identifying the reasons behind the denials, correcting the errors, and resubmitting the claims with proper documentation, illustrating your problem-solving skills.

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Can you explain your experience with Revenue Cycle Management?

Elaborate on your previous roles that involved RCM and detail the processes you followed, from patient registration to the final payment, highlighting how you optimized collections and managed follow-ups effectively.

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What tools and software are you familiar with in medical billing?

Mention specific billing software or EHR systems you have worked with, focusing on their functionalities and how they aided your billing process, emphasizing your adaptability to different technologies.

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How would you prioritize tasks when dealing with a high volume of claims?

Share your methods for prioritizing claims, such as categorizing them based on urgency and complexity, and how effective time management and organizational skills can significantly impact billing efficiency.

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How do you ensure compliance with HIPAA regulations?

Explain your knowledge of HIPAA regulations and the measures you take to protect patient data, including secure handling of documents, training on confidentiality, and maintaining accurate records.

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Describe a situation where you improved the billing process.

Provide a specific example of a process change you implemented that enhanced billing efficiency, supporting your response with data or feedback that illustrates the positive impact of your initiative.

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What is your approach to managing Accounts Receivable?

Outline how you regularly track outstanding bills, your follow-up strategy with payers and patients, and any processes you implement to improve collections and minimize days in accounts receivable.

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Can you describe how to deal with unhappy clients in medical billing?

Discuss your approach to maintaining professionalism, active listening skills, and finding practical solutions to address issues raised by clients, ensuring they feel valued and heard.

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How do you stay updated with changes in medical billing regulations?

Talk about your commitment to continuous learning, whether through professional associations, workshops, or online resources, and how keeping informed benefits your role as a Medical Billing Specialist.

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berry virtual is one of the leaders in the virtual staffing industry with a fully comprehensive approach to growing your business strategically with elite global staff, business advisory, marketing and finance. with over a century of combined exp...

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Full-time, remote
DATE POSTED
March 7, 2025

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