Revenue Cycle & Medical Billing Management
Budget: $250 – $750 USD
I need an experienced Medical Billing and A/R specialist who can take full ownership of our revenue cycle for specialty services in cardiology, orthopedics, and dermatology. Your core mission is to get clean, accurate claims out the door quickly, keep denials to an absolute minimum, and tighten up outstanding A/R.
Day-to-day you’ll verify insurance eligibility, code encounters with ICD-10, CPT, and HCPCS, submit through the clearinghouse or directly on payer portals, track rejections, work every denial, and post payments from EOBs/ERAs. Maintaining up-to-date provider credentialing files is also part of the role.
Although our immediate volume is specialty visits, you should be comfortable handling the occasional inpatient or outpatient claim when it appears. Familiarity with the major commercial payers and Medicare/Medicaid rules will help you hit the ground running.
Deliverables I’ll be looking for each week:
• All new encounters coded and submitted within 48 hours
• Denial log with root-cause notes and resubmission status
• Updated A/R aging report with actions taken
• Payment posting balanced against EOB/ERA totals
• Credentialing tracker showing any expiring documents
If you thrive on chasing every dollar owed, understand the nuances of cardiology, orthopedics, and dermatology billing, and can prove it through clean claim rates and shrinking aging buckets, let’s talk.
Day-to-day you’ll verify insurance eligibility, code encounters with ICD-10, CPT, and HCPCS, submit through the clearinghouse or directly on payer portals, track rejections, work every denial, and post payments from EOBs/ERAs. Maintaining up-to-date provider credentialing files is also part of the role.
Although our immediate volume is specialty visits, you should be comfortable handling the occasional inpatient or outpatient claim when it appears. Familiarity with the major commercial payers and Medicare/Medicaid rules will help you hit the ground running.
Deliverables I’ll be looking for each week:
• All new encounters coded and submitted within 48 hours
• Denial log with root-cause notes and resubmission status
• Updated A/R aging report with actions taken
• Payment posting balanced against EOB/ERA totals
• Credentialing tracker showing any expiring documents
If you thrive on chasing every dollar owed, understand the nuances of cardiology, orthopedics, and dermatology billing, and can prove it through clean claim rates and shrinking aging buckets, let’s talk.