About

Physician Management Resources is a Boston-based, national medical practice consulting company. We specialize in providing comprehensive revenue cycle management and consulting services to healthcare providers across the country.

*WE ARE ONLY HIRING CANDIDATES BASED IN MA, NH, TN, MO, FL, PA, IL, and OK*

Summary:
We are seeking a detail-oriented and experienced Billing Specialist to join our team. In this role, you will be responsible for submitting claims, appealing denied claims, and recording late payments. You’ll work closely with patients, insurance companies, and internal teams to ensure accurate billing and timely reimbursement.

Responsibilities:

• Prepare and submit billing data and medical claims to insurance companies.
• Investigate and appeal denied claims to ensure proper reimbursement.
• Monitor and follow up on missed payments and financial discrepancies.
• Review patient bills for accuracy and completeness; request missing information.
• Assist patients in developing and managing payment plans.
• Maintain and update billing software and electronic medical records.
• Verify insurance coverage and pre-authorizations for procedures.
• Post payments and reconcile accounts to ensure accurate financial records.
• Identify and bill secondary or tertiary insurance providers.
• Respond to patient and insurance inquiries regarding billing and coverage.
• Collaborate with healthcare providers and administrative staff to resolve billing issues.
• Ensure compliance with HIPAA and other healthcare regulations.
• Generate reports on billing activity, collections, and outstanding balances.
• Recommend accounts for collections and prepare documentation for collection agencies.

Qualifications:

• Minimum of 3 years’ experience as a Medical Biller or similar role.
• Strong knowledge of Athena billing software is required.
• Ability to work independently and responsibly.
• Excellent written and verbal communication skills.
• Strong computer proficiency and organizational skills.
• Ability to navigate and use multiple payor portals

Job Type: Full-time

Pay: $23.00 - $26.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Health insurance
• Paid time off

Experience:

• Athenahealth : 1 year (Required)
• Medical billing: 3 years (Required)

Work Location: Remote