Medical Biller - Remote - EST or CST Only

Option Care Health•Nashville, TN

1d•$20 - $22•Remote

About The Position

The RCM / Collections Specialist / Medical Biller is responsible for timely, accurate billing of payers for products and services provided, evaluating and applying payments to patient accounts, and following up with responsible parties to ensure prompt and accurate payment. The role also assists with billing and collection training and completes second-level appeals to payers. Applicants must currently reside in the Eastern Time Zone to be considered. The position requires understanding payer contracts and fee schedules, determining correct quantities and prices for drugs billed, verifying authorizations and supporting documentation, and confirming that billed services and products were ordered and provided. The specialist handles payment review and account application, sends secondary bills and patient invoices, follows up on claims and denials, and generates statements and collections letters. The role also requires compliance with contract terms, fee schedules, company policies, and HIPAA guidelines for protecting patient and business confidentiality. The starting target pay range is $20–$22 per hour. The full salary range is determined based on education, experience, knowledge, skills, abilities, internal equity, and market data.

Requirements

High school diploma or equivalent.
0–6 months of previous infusion reimbursement or intake/admissions experience.
Basic-level Microsoft Excel skills, including workbook and worksheet operations, formatting cells, copying and pasting, inserting rows or columns, setting page layout, using spell check, and printing worksheets.
Basic-level Microsoft Word skills, including editing and formatting text, changing margins and column width, sorting, inserting bullets, pictures, and dates, using find and replace and spell check, tracking changes, and printing documents.
Must currently reside in the Eastern Time Zone.

Responsibilities

Submit timely and accurate invoices to payers for products and services provided.
Understand the terms and fee schedules of contracts for which invoices are submitted.
Determine correct quantities and prices for drugs billed.
Verify that services and products are properly authorized and that required documentation is on file.
Ensure invoices are submitted only for services and products properly ordered and confirmed as provided.
Evaluate payments for correctness and apply them accurately to the system and patient accounts.
Verify payments against the applicable fee schedule.
Mail secondary bills and patient invoices within 48 hours of receiving payment.
Notify the Reimbursement Manager of overpayments or duplicate payments for the same service.
Transfer payments belonging to other offices within 48 hours of receipt.
Follow up on submitted invoices to support prompt and timely payment.
Call to verify that submitted claims were received and are being processed.
Send letters to patients or responsible parties when insurance carriers fail to pay within a reasonable time frame.
Generate and mail statements and collections letters.
Follow up on all denials within 48 hours of receipt.
Ensure compliance with company policies, contract terms, and fee schedule guidelines.
Follow HIPAA guidelines when accessing and sharing patient information to maintain patient and business confidentiality.
Assist with billing and collection training and complete second-level appeals to payers.