Medical Biller & Revenue Cycle Specialist

Job Summary
We are seeking a detail-oriented Medical Biller to manage the full revenue cycle for our three-provider practice. This position is responsible for ensuring all patient encounters (approx. 90–120 per week) are coded accurately, submitted promptly, and followed through to full payment. Your expertise will help streamline the revenue cycle, improve cash flow, and support the delivery of exceptional patient care. The ideal candidate will balance technical billing accuracy with the persistence required to resolve denials and maintain a healthy Accounts Receivable (AR). Flexible schedule available for this hybrid position!

Responsibilities

• Prepare and submit accurate medical claims using CPT (Current Procedural Terminology), ICD-9, ICD-10, and DRG (Diagnosis-Related Group) coding standards to insurance companies and government agencies.
• Review medical records and documentation to ensure proper coding accuracy for billing purposes.
• Denial Management: Research, appeal, and resubmit denied, rejected, or unpaid claims within 48 hours of receipt.
• Maintain detailed records of billing activities, insurance correspondence, and patient accounts within EMR/EHR systems.
• Collaborate with healthcare providers to clarify documentation and ensure compliance with medical terminology and coding guidelines.
• Payment Posting: Accurately input insurance ERAs/EOBs and patient payments into the EHR/PM system; reconcile daily/weekly deposits.
• AR Follow-up: Regularly review aging reports and contact insurance payers to resolve outstanding claims over 30 days.
• Stay current with changes in medical coding regulations, insurance policies, and billing best practices to ensure compliance and maximize reimbursements.

Experience

• Experience: Minimum 2–3 years of experience in medical billing (preferably in a small to mid-sized practice setting).
• Technical Skills: Proficiency in EMR/EHR system used for documentation and billing processes and claim MD clearinghouse platforms.
• Coding Knowledge: Strong understanding of ICD-10, CPT, and HCPCS coding, as well as the use of modifiers.
• Communication: Excellent verbal and written skills for negotiating with insurance adjusters and assisting patients.
• Organization: Ability to manage the weekly billing cycle independently without daily supervision and while maintaining excellent attention to detail.

Pay: $23.00 - $30.00 per hour

Benefits:

• 401(k)
• Employee discount

Work Location: Hybrid remote in West Hartford, CT 06107