Medical Biller

Protera Health

2d•$62,400 - $62,400•Remote

About The Position

Are you a detail-oriented and experienced Medical Biller eager to be part of an innovative healthcare startup? Protera Health is seeking a dedicated Medical Biller to join our growing Operations and RCM team, supporting accurate and timely medical billing while helping ensure the financial health of our organization. This role offers the unique opportunity to take ownership of important billing processes while also contributing to and learning the credentialing and other operational initiatives. This position is ideal for someone who enjoys working independently, solving problems, improving processes, and taking initiative in a dynamic, fast-growing healthcare environment. Protera Health is a pioneering health-tech startup transforming the delivery of musculoskeletal (MSK) care. Our mission is simple: treat patients as we would our own loved ones. Founded by orthopedic surgeons and value-based care experts, we tackle major challenges in healthcare by integrating a holistic, multidisciplinary approach with patient tracking technology. We empower patients through education, personalized home exercise programs, and real-time communication with care teams. Our goal is to help individuals with back, neck, and joint pain regain function, reduce pain, and improve their quality of life while also decreasing excessive, unnecessary spend for orthopedic care. As Medical biller, you will play an essential role in Protera Health's revenue cycle operations. You will be responsible for ensuring claims are accurately submitted and followed through to payment, identifying and resolving billing issues, monitoring accounts receivable, and helping maintain accurate billing records and processes. In addition to your primary billing responsibilities, you will provide cross-coverage support for the Credentialing team. This may include assisting with provider enrollment, maintaining credentialing records, tracking licenses and payer enrollments, and supporting other credentialing activities as needed. This role is ideal for a proactive, organized, and tech-savvy professional who enjoys working in a collaborative environment and is excited about the opportunity to help build and improve operational processes within a growing healthcare startup.

Requirements

Minimum of 2 years of medical billing or revenue cycle management experience.
Experience with medical claims submission and follow-up.
Experience working with insurance payers and resolving claim denials and rejections.
Strong understanding of medical billing processes and revenue cycle workflows.
Strong attention to detail and ability to maintain accurate records.
Excellent communication, organizational, and time-management skills.
Ability to work independently while contributing to a collaborative team environment.
Experience with electronic health records (EHRs), practice management systems, clearinghouses, and electronic remittance advice (ERA).
Ability to learn and navigate multiple healthcare technology platforms.
Reliable high-speed internet and a quiet, professional remote workspace.
Willingness to assist with credentialing and other operational responsibilities as needed.

Nice To Haves

Experience with value-based care or healthcare organizations operating under alternative payment models.
Experience working with multiple payers and varying payer-specific billing requirements.
Experience with credentialing, provider enrollment, or payer enrollment.
Familiarity with NPI, CAQH, Medicare, Medicaid, and commercial payer enrollment processes.
Experience working within a health-tech or startup environment.
Experience building or maintaining billing reports, spreadsheets, dashboards, or other operational tracking tools.
Flexibility to assist with shifting operational priorities and provide cross-coverage across the Operations team.

Responsibilities

Submit and manage medical claims, via CMS1500, accurately and in a timely manner across multiple payers and billing requirements.
Audit and Monitor claim statu and escalating issues.
Review and resolve incorrect claim denials and rejections, payment discrepancies, and other billing issues.
Monitor accounts receivable and identify outstanding balances requiring follow-up or additional action.
Investigate billing discrepancies to determine appropriate resolution.
Maintain accurate billing records and documentation within applicable systems.
Collaborate with clinical, operations, and credentialing teams to resolve issues that may impact billing or reimbursement.
Identify trends and recurring billing issues and recommend improvements to billing workflows and processes.
Assist with maintaining billing reports, dashboards, and other operational tracking tools.
Help develop, document, and refine standard operating procedures related to billing and revenue cycle management.
Provide cross-coverage support for the Credentialing team as needed, including provider enrollment, license tracking, payer enrollment tracking, and credentialing documentation.
Under the direction of the Credentialing Specialist, assist with gathering, reviewing, and maintaining provider credentialing information and documentation.
Support credentialing-related follow-up with providers, payers, and external credentialing organizations as needed.