Job Title: Medical Biller
Job Type: Full-Time Contractor
Workplace: Remote
Schedule: Monday – Friday, 8 AM – 5 PM Pacific
Compensation: 1,000 – 1,200 USD/month (DOE)
About HireHawk
At Hirehawk, we connect top global talent with high-performing U.S. companies. Our focus is on finding exceptional professionals who bring both expertise and drive to every role. We’re passionate about helping candidates grow their careers while supporting our clients with reliable, remote-ready talent that makes an impact from day one.
About the Job
Our client is a physician-owned specialty practice dedicated to Interventional Pain Management and Anesthesiology. As the Medical Biller, you’ll own the full revenue cycle—from charge capture through final account resolution—ensuring clean, compliant claims and healthy cash flow. You’ll collaborate with providers, coders, and operations teams to eliminate revenue leakage, reduce denials, and keep accounts receivable days under 35. This is a long-term, full-time engagement with a steady workload and growth potential.
Core Responsibilities
Charge Review & Coding
Audit clinical documentation for medical necessity and completeness.
Assign accurate CPT, ICD-10-CM, HCPCS, ASA, and modifiers for pain procedures (e.g., RFA, epidurals, spinal cord stimulators) and anesthesia services.
Validate codes against NCCI edits, LCDs, and payer policies.
Claim Submission & Follow-Up
Submit electronic/paper claims to Medicare, Medi-Cal, commercial, workers’ comp, and personal-injury carriers.
Resolve clearinghouse rejections within 48 hours and perform proactive claim status checks to meet defined SLAs.
Denials Management & Appeals
Analyze EOB/ERA denial codes; draft persuasive, evidence-based appeals.
Track appeal deadlines, overturn rates, and root-cause trends.
Payment Posting & Reconciliation
Post insurance and patient payments, contractual adjustments, and refunds daily.
Reconcile batches to bank deposits; balance month-end AR sub-ledger to GL.
Patient Billing & Collections
Generate statements, answer billing inquiries, and set up payment plans.
Manage small-balance write-offs and early-out/collections placements.
Reporting & Compliance
Produce weekly AR aging, charge lag, and denial dashboards.
Maintain HIPAA, CMS, and No Surprises Act compliance; support internal/external audits.
Requirements
Must-Haves for This Role
Fluent English (written & verbal) — CEFR C1 or higher
3+ years full-cycle medical billing experience
Prior work in pain management, anesthesia, spine, or surgical specialties
Proven record keeping AR ≤ 35 days and overturning denials
Hands-on knowledge of:
CPT, ICD-10-CM, HCPCS, ASA base units, RVUs, payer fee schedules
At least one PM/EHR platform (e.g., eClinicalWorks, AdvancedMD, NextGen)
Microsoft Excel or Google Sheets (pivot tables, VLOOKUP)
CPC, CPB, CBCS, or similar certification (strongly preferred)
Meticulous attention to detail and strong documentation skills
Reliable 25 Mbps+ wired internet connection (for hybrid/remote work days)
Nice-to-Haves for This Role
Associate’s degree in Health Information Management, Business, or related field
Experience with workers’ comp and personal-injury lien billing
Familiarity with anesthesia billing modifiers and base-unit calculation
Benefits
Competitive compensation: USD $1,000 – $1,200 per month (DOE)
Access to a $200k+ perk marketplace with instant discounts on 150+ services
Access up to 50% of approved earnings before payday (no credit checks or fees)
On-time, in-currency pay
Access to a structured career ladder and certification reimbursements
HireHawk
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