Medical Billing Specialist, Chirotouch
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Job Description
Remote A/R and denial specialist resolving chiropractic claims for an Idaho practice. Preparing appeals, correcting claims, and tracking payer decisions.
Responsibilities:
- Review aging reports and follow up on claims unpaid 30 days or more after submission
- Contact payers by phone, portal and website to check claim status and obtain resolution
- Analyze denials and remittance codes (CARC/RARC) to identify root causes
- Prepare and submit corrected claims, reconsiderations and written appeals with supporting documentation
- Track appeals through final decisions and escalate nonresponsive payers
- Work denied exam and evaluation claims, including modifier and medical necessity issues
- Identify recurring denial trends and report them to the practice for front-end correction
- Document all follow-up activity in the practice management system
- Protect patient information and follow HIPAA requirements
Requirements:
- At least 2 years of experience with U.S. healthcare insurance A/R follow-up and denial management
- Chiropractic billing experience required
- Experience writing and submitting appeals and reconsiderations
- Familiarity with commercial insurance and government health plans
- Experience using payer portals and insurance websites
- Strong written and spoken English
- Excellent attention to detail and follow-up skills
- Ability to work independently and manage multiple patient accounts
- Reliable internet connection and a suitable remote workspace
- Experience using ChiroTouch preferred
- Familiarity with Idaho insurance plans, such as Blue Cross of Idaho and Regence BlueShield of Idaho preferred
- Knowledge of chiropractic coding rules, such as CMT codes 98940 to 98942, modifier 25 on same-day exams, the AT modifier for Medicare, and therapy codes for ultrasound, electrical stimulation and massage preferred
- Experience working with non-covered services such as decompression and cold laser preferred
- Must be available during Mountain Time business hours
Benefits:
- Opportunity to move to full-time based on performance and practice needs
- Remote work arrangement
- Part-time schedule of 20 hours per week
- Schedule during Mountain Time business hours
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