Medical Billing & Revenue Cycle Specialist – U.S. Healthcare

Abria Detox is a U.S.-based behavioral health and substance use disorder treatment organization. We are looking for an experienced Medical Billing & Revenue Cycle Specialist to join our team remotely.

This is not a general virtual assistant position. Previous U.S. medical billing experience is required.

Responsibilities

• Submit and track medical claims
• Review and correct rejected claims
• Work denied, unpaid, and underpaid claims
• Manage A/R and aging reports
• Follow up directly with U.S. insurance companies
• Verify insurance eligibility and benefits
• Verify and track prior authorizations
• Review EOBs and ERAs
• Post payments and adjustments
• Correct and resubmit claims
• Prepare and follow up on appeals and reconsiderations
• Identify underpayments and billing issues
• Maintain accurate documentation of payer communications
• Assist with billing reports and reconciliation
• Work with our clinical and administrative teams to resolve billing issues

Qualifications

• Minimum 2 years of hands-on U.S. medical billing/RCM experience required
• Bachelor’s degree preferred but not required
• Experience with claims submission, A/R follow-up, denials, appeals, payment posting, eligibility verification, and prior authorizations
• Knowledge of CMS-1500, ICD-10, CPT/HCPCS, EOBs, ERAs, and U.S. healthcare revenue cycle processes
• Experience working with Medicaid and commercial insurance
• Experience using Availity and other U.S. payer portals preferred
• Strong written and spoken English
• Comfortable calling U.S. insurance companies and resolving claims
• Familiarity with HIPAA and U.S. healthcare privacy requirements

Experience with behavioral health, substance use disorder treatment, detox/withdrawal management, residential treatment, IOP, or mental health billing is strongly preferred.

Experience with Minnesota Medicaid, Blue Cross Blue Shield/Blue Plus, UCare, Medica, HealthPartners, Hennepin Health, UnitedHealthcare, or similar U.S. payers is a major plus.

What We’re Looking For

We want someone who takes ownership of claims. If a claim isn’t paid, we expect you to investigate the issue, contact the payer, determine what needs to be corrected or appealed, and continue following up until the claim is resolved.

You should be organized, reliable, detail-oriented, comfortable working independently, and persistent when following up with insurance companies.

Schedule

This is a full-time, long-term remote position.

You must be available to work during U.S. business hours, including sufficient overlap with U.S. Central Time, since you will regularly communicate with insurance companies and our U.S.-based team.

Compensation

Wage/Salary: $1,000–$1,400 USD/month, depending on experience.

Higher compensation may be considered for candidates with significant experience in behavioral health billing, Medicaid, denial management, appeals, and full-cycle RCM.

There are opportunities for increased responsibility and compensation based on performance.

How to Apply

Please include “ABRIA RCM” at the beginning of your application so we know you read the entire posting.

Please answer the following:

1. How many years of U.S. medical billing experience do you have?
2. What types of healthcare organizations have you billed for?
3. Do you have behavioral health, substance use disorder, detox, residential, IOP, or mental health billing experience?
4. Which U.S. insurance companies have you worked with?
5. Which states have you handled Medicaid billing for?
6. What EHRs, clearinghouses, and payer portals have you used?
7. Are you experienced with A/R, denials, appeals, and insurance follow-up?
8. Are you comfortable calling U.S. insurance companies?
9. What hours can you work in U.S. Central Time?
10. Briefly describe a difficult denied or unpaid claim you successfully resolved.

We are looking for someone who wants to become a long-term member of our team and grow with our organization.