Billing Specialist​/Senior Billing Specialist Grand Blanc, MI

Billing Specialist / Senior Billing Specialist job nd Blanc, MI.

ModuleMD is a leading SaaS provider for medical practices in the US. Our solutions include an all-in-one Practice Management, Electronic Health Records, and Revenue Cycle Management software, along with a Managed Billing Service. We are seeking an experienced Billing Specialist / Senior Billing Specialist to join our team remotely in India.

Company:
ModuleMD Healthcare Solutions Pvt Ltd (
website: )

Job Title:

Billing Specialist / Senior Billing Specialist

Location:

Hyderabad (Currently work from home)

Experience:

5 to 10 years

Shift: US hours – Night shift (5:30 PM to 2:30 AM IST
)

Joining:
As early as possible

Role:
Permanent position

Education:

Bachelor's Degree in a related field or equivalent experience

Experience:

• Minimum 5+ years of experience in accounts receivable follow-up and denial management, specifically handling claims denials/rejections for US healthcare clients.
• Experience working with websites like CHAMPS, Medicaid, Medicare, etc.
• Proficiency with Aging Analysis Reports, Code Sets, Medicaid eligibility, and related processes.
• Knowledge of ABN, COB, Medicare reconsideration/appeals, birthday rule, and use of CHAMPS website.
• Experience in denials management, AR fundamentals, rejections, and appeals.
• Understanding of ICD-10 and CPT coding.
• Familiarity with multiple insurance portals for eligibility, claims status, payments, and disputes.
• Ability to prepare comprehensive appeal documentation.
• Knowledge of HIPAA privacy laws and regulations.
• Ability to read and interpret EOBs and Payment Vouchers.
• Experience in Allergy and Oncology billing is a plus.

Skills:

• Excellent communication skills, both oral and written.
• Remote work capability, independent and team-oriented.
• Attention to detail and accuracy.
• Flexible and adaptable mindset.

Responsibilities:

• Maintain documentation for insurance claims and audits.
• Communicate directly with healthcare practices.
• Post payments accurately.
• Manage denials and AR follow-ups: Analyze AR data, identify denial reasons, and document appropriately.
• Record post-call actions and perform follow-up analysis.
• Adhere to company policies and employment terms.

ModuleMD is an equal opportunity employer committed to diversity and inclusion. We encourage candidates to apply or send their CV to:

Email: