We are looking for an experienced Senior Medical Biller with 7+ years of hands-on experience in US Healthcare Provider-side Revenue Cycle Management (RCM), particularly in Accounts Receivable (A/R), Denial Management, Appeals, Payment Posting, and Collections.

The successful candidate will independently manage assigned billing accounts, perform end-to-end claim follow-up, identify and resolve denial and payment issues, prepare appeals, and work directly with healthcare practices and insurance payers.

This is a client-facing position, so robust communication, relationship management, analytical ability, and professional judgment are essential.

Key Responsibilities

1. Medical Billing & Revenue Cycle Management
- Manage the complete medical billing and collections cycle for assigned client accounts.
- Ensure claims are accurately prepared, submitted, and followed up within payer timelines.
- Perform insurance verification, claim status checks, payment research, and account follow-up.
- Work extensively with insurance portals including Medicare, Medicaid, CHAMPS,



and other payer platforms.
- Ensure timely resolution of billing issues to maximize reimbursement and reduce outstanding A/R.
- Maintain accurate documentation of all billing activities and account actions.

2. A/R & Denial Management
- Perform detailed A/R follow-up on outstanding and aged accounts.
- Analyze A/R reports to identify trends, payment delays, underpayments, and high A/R days.
- Investigate and resolve claim denials, rejections, and payment discrepancies.
- Identify recurring denial patterns and perform root cause analysis (RCA).
- Track and document top denial reasons and apply appropriate denial codes in the billing system.
- Develop appropriate action plans to reduce recurring denials.
- Maintain consistent follow-up on unresolved claims until appropriate resolution.

3. Appeals & Reconsiderations
- Prepare and submit payer appeals and reconsideration requests for denied claims.
- Handle Me

📌 Senior Medical Biller (India)
🏢 ModuleMD Healthcare Solutions
📍 India