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Medical Billing Specialist - Verity Solutions - Remote

Remote, USA Full-time Posted 2025-11-03
About the position Responsibilities • Leads the development of standardized RCM workflow, policies and procedures that enable a scalable RCM service solution to multiple clients. • Routinely engages with clients to manage RCM actions, needs, and business results as the key business partner. • Assists in tracking and resolving claim rejections for various clients of different size and medical disciplines. • Facilitates communication between health care providers and insurance companies as it relates to medical claim submissions, rejections and payouts, and other needs as defined. • Provide proactive, timely, and comprehensive updates to clients on current status of claim submissions. • Identifies operational system enhancement opportunities to automate and scale RCM services. • Works with operations leadership and product management to prioritize as appropriate. • Assist with maintaining department documentation and education tools. • Serve as a professional and courteous face of Verity Solutions through phone, email, webinar or in-person interactions. • Supports and promotes the Fusebox and Verity Solutions values through positive interactions with both internal and external stakeholders on a regular basis. • Assist with training of new team members. • Attend to other team or cross-departmental initiatives as assigned. Requirements • Certification in medical billing and coding is STRONGLY preferred. • 3+ years as a Medical Biller with strong knowledge of common medical billing practices including but not limited to modifiers and general EMR requirements. • Ability to read and identify errors in claims prior to claim submission. • Ability to read and understand common billing forms including but not limited to 837 EDI, CMS-1500, and UB04. • Advanced knowledge of HCPCs, NDC, CPT and ICD-10 codes. • Ability to have flexibility in dealing with workday emergencies and attend to critical client issues. • Demonstrate ability to maintain professional demeanor and confidentiality. • Proven ability to use critical thinking and problem-solving skills to analyze and troubleshoot problems with customer claims. • Background in Allergy and/or Immunology billing is highly preferred. • Knowledge of billing requirements for various medical fields required. • Proven display of interest in customer and colleague success through sharing of knowledge, ideas, tips and experiences. • Proven ability to communicate verbally and in written form at a high level. • Able to prioritize tasks and accept working in a fast-paced environment without getting overwhelmed. • Ability to multitask and manage multiple discreet claim submissions at the same time. • Visible enthusiasm for on-going learning. • Role models a passion for working with customers, proactive problem-solving and troubleshooting, and embodying a culture to exceed expectations. Nice-to-haves • Background in Allergy and/or Immunology billing is highly preferred. Benefits • Comprehensive health-related benefits including medical, vision, dental, and well-being and behavioral health programs. • 401(k) with company match. • Company paid life insurance. • Tuition reimbursement. • A minimum of 18 days of paid time off per year. • Paid holidays. • Annual bonus plan eligibility. Apply tot his job Apply To this Job

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