Certified Coder/Medical Biller- Fully Remote
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ReveLution is a specialized medical billing and revenue cycle management firm focused on delivering tailored, compliant, and efficient billing solutions. By combining the personalized service of an in-house team with advanced technology and strong payer relationships, ReveLution helps healthcare providers maximize reimbursement and streamline operations. The company offers a full suite of services including coding, accounts receivable management, payment posting, patient billing, prior authorizations, credentialing, and insurance contract negotiation. With expertise in oncology billingâespecially radiation, radiology, and surgical specialtiesâReveLution is known for its transparent consulting, responsive communication, and seamless integration with client workflows. This Full Cycle Medical Billing role will perform coding and claim entry, as well as follow-up on claims to ensure timely reimbursement or dispute claim denials. We are seeking team members that also have the skillset to field patient billing department calls and aid patients in understanding their insurance benefits and breakdown of their billing statement. The successful candidate will be an enthusiastic self-starter who demonstrates independent problem-solving skills, willingness to tackle the ever-changing scenarios presented by insurance companies in the billing sphere, and the ability to multi-task and handle obstacles with a poised demeanor and a positive attitude. Key Responsibilities: daily tasks include, but are not limited to, the following: ⢠Reviewing physician documentation and assigning codes (CPT, HCPCS, and ICD-10) ⢠Applying coding modifiers accurately ⢠Submitting accurately coded claims ⢠Handling patient billing calls ⢠Reviewing claim EDI rejections ⢠Reviewing claim denials and resolving root denial issues through reconsiderations, appeals, and other resolution actions. ⢠As well as a host of other duties to ensure timely reimbursement to the medical provider Benefits: ⢠Paid Time Off, Sick Leave, & Personal Emergency Leave ⢠Medical, Dental, & Vision Insurance ⢠401(K) ⢠Certification & AAPC Membership reimbursement ⢠Work from home, fully remote ⢠Coding Certification from an accredited institution Required: CPC or CPC-A, CPB, ROCC, etc. ⢠2+ yearsâ experience in medical billing- coding and/or A/R required. ⢠Bi-lingual Spanish-speaking applicants are preferred. Skill Set: ⢠Comfortable working across a wide variety of technology platforms, including web-based portals and applications, and computer software applications. ⢠Knowledge of Medicare, Medicaid/AHCCCS, and third-party billing practices. ⢠Ability to communicate in a clear, professional, and timely manner with all team members. ⢠Comfortable working directly with physicians to request outstanding documents, discuss appropriate coding practices, etc. ⢠Well-versed in CPT, HCPCS, and ICD-10-CM coding. ⢠Working knowledge of Microsoft applications WordÂŽ, ExcelÂŽ, etc. ⢠Strong self-management skills and the ability to effectively and efficiently organize workflow ⢠Excellent telephone etiquette and verbal and written communication. ⢠Detail-oriented with good problem-solving skills. ⢠Ability to follow through to completion on all assignments. Apply tot his job
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apply to this job
ReveLution is a specialized medical billing and revenue cycle management firm focused on delivering tailored, compliant, and efficient billing solutions. By combining the personalized service of an in-house team with advanced technology and strong payer relationships, ReveLution helps healthcare providers maximize reimbursement and streamline operations. The company offers a full suite of services including coding, accounts receivable management, payment posting, patient billing, prior authorizations, credentialing, and insurance contract negotiation. With expertise in oncology billingâespecially radiation, radiology, and surgical specialtiesâReveLution is known for its transparent consulting, responsive communication, and seamless integration with client workflows. This Full Cycle Medical Billing role will perform coding and claim entry, as well as follow-up on claims to ensure timely reimbursement or dispute claim denials. We are seeking team members that also have the skillset to field patient billing department calls and aid patients in understanding their insurance benefits and breakdown of their billing statement. The successful candidate will be an enthusiastic self-starter who demonstrates independent problem-solving skills, willingness to tackle the ever-changing scenarios presented by insurance companies in the billing sphere, and the ability to multi-task and handle obstacles with a poised demeanor and a positive attitude. Key Responsibilities: daily tasks include, but are not limited to, the following: ⢠Reviewing physician documentation and assigning codes (CPT, HCPCS, and ICD-10) ⢠Applying coding modifiers accurately ⢠Submitting accurately coded claims ⢠Handling patient billing calls ⢠Reviewing claim EDI rejections ⢠Reviewing claim denials and resolving root denial issues through reconsiderations, appeals, and other resolution actions. ⢠As well as a host of other duties to ensure timely reimbursement to the medical provider Benefits: ⢠Paid Time Off, Sick Leave, & Personal Emergency Leave ⢠Medical, Dental, & Vision Insurance ⢠401(K) ⢠Certification & AAPC Membership reimbursement ⢠Work from home, fully remote ⢠Coding Certification from an accredited institution Required: CPC or CPC-A, CPB, ROCC, etc. ⢠2+ yearsâ experience in medical billing- coding and/or A/R required. ⢠Bi-lingual Spanish-speaking applicants are preferred. Skill Set: ⢠Comfortable working across a wide variety of technology platforms, including web-based portals and applications, and computer software applications. ⢠Knowledge of Medicare, Medicaid/AHCCCS, and third-party billing practices. ⢠Ability to communicate in a clear, professional, and timely manner with all team members. ⢠Comfortable working directly with physicians to request outstanding documents, discuss appropriate coding practices, etc. ⢠Well-versed in CPT, HCPCS, and ICD-10-CM coding. ⢠Working knowledge of Microsoft applications WordÂŽ, ExcelÂŽ, etc. ⢠Strong self-management skills and the ability to effectively and efficiently organize workflow ⢠Excellent telephone etiquette and verbal and written communication. ⢠Detail-oriented with good problem-solving skills. ⢠Ability to follow through to completion on all assignments. Apply tot his job
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