Medical Biller - Full Cycle Revenue Cycle Management (Internal Medicine / Pedia

About the Role

We are seeking a seasoned, revenue-focused Medical Biller / RCM Specialist to take full ownership of our practice’s complete revenue cycle. You will oversee all billing operations for an Internal Medicine and Pediatrics practice with subspecialties in Obesity Medicine and Nutrition.

This is a dedicated, specialized billing role—not a general virtual assistant or front-office position. You will manage the entire lifecycle of a claim, from pre-visit eligibility and prior authorizations to charge review, electronic claim submission, payment posting, aggressive A/R follow-up, denial resolution, and patient collections.

Requirements

Key Responsibilities

1. Full-Cycle Claims & Payment Processing

• Review charges and claims for complete billing accuracy; validate CPT, HCPCS, and ICD-10 coding.
• Submit clean claims electronically, monitor daily clearinghouse statuses, and promptly correct and resubmit rejected claims.
• Accurately post insurance payments (EOBs/ERAs) and patient payments; balance posting logs daily.

2. Denials Management & Appeals

• Interrogate denial codes, identify root causes, and correct/resubmit claims immediately.
• Draft and submit comprehensive appeal packages complete with supporting clinical documentation.
• Track appeals throug