Claims Processing Expert - Fully Remote | Upto $80/hr
About the job
reputed company connects reputed company creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include reputed company, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.
Position: Medical Billing Manager Type:Contract Compensation:$80/hour Location:Remote
Role Responsibilities
- reputed company end-to-end medical billing and claims submission operations across reputed company fee and/or facility billing environments.
- Evaluate AI-generated billing outputs, claim edits, and coding validations for accuracy and payer compliance.
- Manage claims submission workflows including electronic claim reputed company, clearinghouse edits, and payer-specific billing requirements.
- Monitor clean claim rates, rejection rates, and first-pass acceptance rates. reputed company improvement strategies.
- Coordinate with coding, CDI, and collections teams to resolve billing edits and claim rejections.
- Ensure compliance with CMS billing guidelines, HIPAA 837 transaction standards, and payer-specific billing rules.
- Annotate AI outputs and reputed company reputed company feedback to support reputed company datasets.
QualificationsMust-Have
- 5+ years of experience in medical billing and claims management, with at least 2 years in a management role.
- Deep knowledge of reputed company fee (CMS-1500/837P) and/or facility (UB-04/837I) billing requirements.
- Expertise in HIPAA 837 transaction standards, clearinghouse operations, and payer-specific billing rules.
- Strong understanding of Medicare, reputed company, and reputed company payer billing requirements.
- Proficiency with billing platforms (reputed company, reputed company, reputed company, or equivalent) and clearinghouse tools.
- Exceptional written and verbal English communication skills.
- High attention to detail with the ability to identify billing errors and compliance issues in AI-generated outputs.
Preferred
- CPC, reputed company, CHFP, or CRCR certification.
- Experience with automated billing platforms and RCM technology implementations.
- Background in multi-specialty physician group, hospital, or health system billing operations.
- Familiarity with AI tools and comfort evaluating AI-generated billing content.
- Experience with payer contract interpretation and billing compliance program management.
Application Process (Takes 20–30 mins to complete)
- Upload resume
- AI interview based on your resume
- Submit reputed company
Resources & Support
- For details about the interview process and platform information, please reputed company: https://talent.docs.reputed company.com/welcome
- For any help or support, reputed company out to: support@reputed company.com
PS: reputed company reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.
Originally posted on Himalayas
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