What you will do
- Review charges from the practice EHR (Revelrex EHR, eClinicalWorks, athenahealth, Tebra, AdvancedMD or similar) and submit clean professional claims (CMS-1500 / 837P) through the clearinghouse within 48 hours of the visit.
- Correct clearinghouse rejections the same day and fix the front-end data behind them: eligibility, demographics, NPI and taxonomy, place of service, referring provider.
- Post ERAs (835) and paper EOBs, reconcile postings to the bank deposit, and flag underpayments against the fee schedule.
- Read CARC and RARC codes, decide whether a denial is corrected, appealed or written off, and document the reason on the account.
- Keep timely filing in view: run the unbilled and rejected-claim reports every morning and clear them before you start anything else.
- Apply modifiers correctly (25, 59, 24, 57, 95, FQ) and know when a prior authorization or a referral is required before a claim goes out.
- Work patient balances: statements, payment plans within the practice policy, and hand-offs to the caller team with clear notes.
- Send each practice a weekly billing summary in plain words: charges, payments, adjustments and open A/R by bucket.
- Handle protected health information under the minimum necessary standard and only inside the approved systems.
What we need
- 5+ years of hands-on medical billing for professional claims, in a billing company or a practice with more than one provider.
- Working knowledge of CPT, ICD-10-CM and HCPCS, NCCI edits and the common payer policies (Medicare, Medicaid, UnitedHealthcare, Aetna, Cigna, Anthem BCBS, Humana).
- Daily experience with at least one clearinghouse (Availity, Waystar, Optum, Office Ally) and with payer portals.
- Comfortable with 837P and 835 files, ERA posting and reconciliation to deposits.
- Bachelor's degree (any field).
- Fluent English, written and spoken.
- Reliable internet, a quiet home office and the ability to work United States business hours (Pacific Time).
- Pass a background check and sign a confidentiality agreement; HIPAA training is provided and refreshed yearly.
Nice to have
Not required. Mention them if you have them.
- CPB (AAPC) or CPC certification.
- Experience with, eClinicalWorks, athenahealth or Tebra.
- Specialty billing experience: family medicine, internal medicine, behavioral health, physical therapy or urgent care.
- Spanish reading ability for patient statements and payer letters.
What we offer
- Salary on the United States pay scale, deposited twice a week, negotiable with experience.
- Full time, remote, United States business hours (Pacific Time, Monday to Friday).
- Paid time off and paid United States holidays.
- Training on the Revelrex EHR and on our billing playbooks during your first two weeks.
- A growth path into team lead, denial management or client-facing account roles.
How we hire
- 1Apply online
Fill in the short form and attach your CV. You get a confirmation email right away, and a reply from a person within ten business days.
- 2A 20-minute call
A video call with the team lead about your experience: the systems you have used, the payers you know, and how you work a day.
- 3A practical exercise
A short, realistic task on our training EHR with synthetic patients: for example, work five denials or verify three eligibilities. About an hour, paid attention to how you think, not speed.
- 4An offer
If it is a fit on both sides, you get a written offer, a start date and a two-week onboarding plan. The whole process takes two to three weeks.
Every offer is subject to a background check and a signed confidentiality agreement. Revelrex considers applicants without regard to race, color, religion, sex, national origin, age, disability or any other protected status.
About Revelrex
Revelrex is a revenue cycle management company in Jefferson City, Missouri, serving independent practices across the United States: medical billing, denial management, credentialing, PCMH recognition and the Revelrex EHR. HIPAA compliant and SOC 2 compliant. More about us