Medical Biller – Denial Management & Revenue Cycle Specialist (Chiropractic)

Medical Biller – Denial Management & Revenue Cycle Specialist (Chiropractic) **Project-Based to Start | Part-Time During Training | Full-Time Long-Term Position** We are looking for an experienced Medical Biller with **exceptional denial management skills**. Chiropractic billing experience is required. Experience with provider credentialing and Personal Injury (PIP/Auto Accident) billing is a strong plus. This position will begin on a **project basis** so we can evaluate your skills and ensure we are a good fit for one another. If selected, you will transition to a **part-time position** while learning our systems, workflows, and procedures. As you become more proficient and are able to take on additional responsibilities with less supervision, your hours will gradually increase with the goal of moving into a **full-time, long-term position**. We are looking for someone who wants to grow with our company and become an important member of our team. ## Our Highest Priority: Denial Management The most important responsibility in this position is your ability to independently investigate, resolve, and prevent insurance denials. You should be someone who: * Investigates denials promptly instead of allowing them to age. * Researches payer policies, claim history, medical documentation, and billing guidelines to determine the true cause of denials. * Corrects and resubmits claims accurately. * Files appeals when appropriate. * Follows claims through to payment. * Identifies recurring issues and helps improve processes to reduce future denials. If denial management is not one of your strongest skills, this position is probably not the right fit. ## Responsibilities * Denial management and appeals * Insurance Accounts Receivable (AR) follow-up * Submit clean claims with excellent attention to detail * Accurate payment posting and EOB processing * Insurance verification and benefits verification * Obtain referrals from Primary Care Physicians when required * Submit prior authorizations through payer portals such as UnitedHealthcare and other commercial payers * Submit and manage Personal Injury (PIP/Auto Accident) claims when applicable * Manage claims throughout the complete Revenue Cycle Management process * Assist with provider credentialing and recredentialing * Maintain organized documentation of work performed * Communicate proactively regarding claim issues and resolutions ## Required Qualifications * Strong chiropractic medical billing experience * Excellent denial management skills * Thorough understanding of Revenue Cycle Management (RCM) * Experience submitting insurance claims with a high level of accuracy * Experience with payment posting and EOB processing * Strong Accounts Receivable (AR) follow-up experience * Experience with insurance verification and benefits verification * Experience obtaining referrals and submitting prior authorizations * Experience using TriZetto, Office Ally, ChiroTouch, Availity, and insurance payer portals * Excellent written and spoken English * Strong initiative and problem-solving ability * Excellent organizational and time-management skills * Ability to work independently with minimal supervision * Excellent attention to detail * Ability to accurately track time worked and remain productive throughout the workday ## Preferred Qualifications * Provider credentialing and enrollment experience * Personal Injury (PIP/Auto Accident) billing experience * Workers' Compensation billing experience * Experience billing other specialties such as Physical Therapy, Pain Management, Orthopedics, Family Practice, or other outpatient specialties ## What We're Looking For We value initiative, accountability, and efficiency. We are looking for someone who takes ownership of their work, communicates well, manages their time responsibly, and resolves problems rather than waiting to be told what to do. The ideal candidate is highly skilled in denial management, understands the complete revenue cycle, submits accurate claims, posts payments correctly, follows up aggressively on unpaid claims, and consistently works to maximize collections. This is an opportunity to become a key member of a growing company. We are looking for someone interested in building a long-term career with us. ## To Apply, Please Include 1. Your years of chiropractic billing experience. 2. Your experience with denial management, including one difficult denial you successfully resolved and how you resolved it. 3. Your experience with Revenue Cycle Management. 4. The EMRs, billing software, clearinghouses, and payer portals you have used. 5. Your experience with prior authorizations, referrals, and insurance verification. 6. Your experience with provider credentialing. 7. Your experience with Personal Injury (PIP/Auto Accident) and Workers' Compensation claims. 8. A short Vocaroo (or similar voice recording) introducing yourself and explaining why you are the right fit for this position. 9. Your current availability and how soon you could begin project work if selected. We are looking for someone who takes pride in producing accurate work, resolving difficult billing issues, and contributing to the long-term success of our clients and our company.