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Remote Medical Billing Rcm Jobs in Virginia (NOW HIRING)

C-MCI

Medical Billing Specialist

Fairfax, VA · On-site +1

$18.50 - $24/hr

Position: Medical Billing Specialist Location: Remote / On-site Department: Revenue Cycle ... Revenue CycleManagement (RCM): * Oversee theentire claims lifecycle, from eligibility verification ...

Sentara

Premium Billing Specialist I

Virginia Beach, VA · On-site +1

$10K/mo

Must have at least one (1) year of related experience with Medical Insurance/Billing Benefits ... For positions that are available as remote work, Sentara Health employs associates in the following ...

Sentara

Premium Billing Specialist I

Virginia Beach, VA · On-site +1

$18.25 - $24.75/hr

Must have at least one (1) year of related experience with Medical Insurance/Billing Benefits ... For positions that are available as remote work, Sentara Health employs associates in the following ...

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Remote Medical Billing Rcm information

What are Remote Medical Billing RCM professionals?

Remote Medical Billing RCM (Revenue Cycle Management) professionals are specialists who manage and optimize the financial processes involved in healthcare billing from a remote location. Their responsibilities include submitting medical claims to insurance companies, following up on unpaid claims, verifying patient insurance coverage, and ensuring accurate coding and billing. By working remotely, they support healthcare providers in maintaining steady cash flow and compliance with industry regulations. These roles typically require knowledge of medical terminology, billing software, and healthcare regulations such as HIPAA. Remote work allows for flexibility while still providing essential support to healthcare organizations.

What are some common challenges faced by Remote Medical Billing RCM professionals, and how can they be addressed?

Remote Medical Billing RCM (Revenue Cycle Management) professionals often encounter challenges such as keeping up with frequent changes in insurance policies, managing claim denials, and maintaining clear communication with healthcare providers and payers. Working remotely can add complexity, as team collaboration and access to sensitive data must be handled securely and efficiently. Staying organized with a robust workflow, leveraging secure billing software, and participating in regular virtual meetings can help address these challenges and ensure effective revenue cycle management.

What are the key skills and qualifications needed to thrive as a Remote Medical Billing RCM (Revenue Cycle Management) Specialist, and why are they important?

A Remote Medical Billing RCM Specialist needs knowledge of medical billing procedures, coding standards (such as ICD-10, CPT, and HCPCS), and a background in healthcare administration or billing certification. Familiarity with billing software, electronic health records (EHR) systems, and claims management platforms is essential, often supplemented by certifications like Certified Professional Biller (CPB) or Certified Revenue Cycle Representative (CRCR). Attention to detail, organization, and strong communication skills help specialists resolve claim issues and interact effectively with patients and payers. These skills ensure accurate claim processing, timely reimbursements, and compliance with regulations—crucial for the financial health of healthcare practices.

What is the difference between Remote Medical Billing Rcm vs Remote Medical Coding Specialist?

AspectRemote Medical Billing RcmRemote Medical Coding Specialist
Primary RoleManaging billing processes, submitting claims, and ensuring payment collectionReviewing medical records and assigning appropriate codes for billing and documentation
Required CertificationsCPB, CPC, or similar billing certificationsCPC, CCS, or coding certifications
Work EnvironmentRemote or office-based, healthcare or billing companiesRemote or office-based, healthcare providers or coding companies
Industry UsageWidely used in healthcare billing and revenue cycle managementCommon in medical record documentation and coding departments

While both roles are essential in healthcare revenue cycle management, Remote Medical Billing Rcm focuses on submitting claims and collecting payments, whereas Remote Medical Coding Specialist concentrates on accurately coding medical records. They often collaborate but require different certifications and skill sets.

What are the most commonly searched types of Medical Billing Rcm jobs in Virginia? The most popular types of Medical Billing Rcm jobs in Virginia are:
What are popular job titles related to Remote Medical Billing Rcm jobs in Virginia? For Remote Medical Billing Rcm jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Remote Medical Billing Rcm jobs in Virginia look for? The top searched job categories for Remote Medical Billing Rcm jobs in Virginia are:
What cities in Virginia are hiring for Remote Medical Billing Rcm jobs? Cities in Virginia with the most Remote Medical Billing Rcm job openings:
Remote Medical Billing Rcm jobs near you
Medical Billing Specialist

Medical Billing Specialist

C-MCI

Fairfax, VA • On-site, Remote

$18.50 - $24/hr

Full-time

Posted 3 days ago

Job description

Job Description
Position: Medical Billing Specialist
Location: Remote / On-site
Department: Revenue Cycle Management
Overview:
CMCI is seeking a detail-oriented and experienced Medical Billing Specialist to oversee claims processing, revenue cycle management, and contribute valuable insights to develop AI-powered tools that enhance medical billing workflows. The ideal candidate will have expertise in medical coding, claims submission, payer interactions, and denial management, ensuring optimized billing practices for maximum reimbursement and minimal claim rejections.
Why Join CMCI?
  • Opportunityto work with cutting-edge AI-driven billing solutions that optimizeRCM efficiency.
  • Work in acollaborative environment with healthcare and AI professionals.
  • Competitivesalary, benefits, and professional development opportunities.

Key Responsibilities:
  • ClaimsProcessing & Submission:
    • Accuratelyprocess, review, and submit medical claims.
    • Verify CPT,ICD-10, and HCPCS codes to ensure claims compliance withpayer-specific policies.
    • Work withclearinghouses and insurance payers to track claims and resolve denials,rejections, and underpayments efficiently.
  • Revenue CycleManagement (RCM):
    • Oversee theentire claims lifecycle, from eligibility verification to final paymentreconciliation.
    • Monitoraccounts receivable (A/R) aging reports and ensure timely follow-upon outstanding claims.
    • Optimizepayer reimbursement rates by leveraging contractual agreements andcoding best practices.
  • Payer &Compliance Coordination:
    • Utilize thepayer lookup database to retrieve Payer IDs and transactiontypes for accurate claim submission.
    • Ensurecompliance with Medicare, Medicaid, and private insuranceguidelines to prevent fraud and billing errors.
    • Stay updatedon coding changes, regulatory requirements, and payer policies tomaintain accuracy in claims processing.
  • Technology& AI Development Support:
    • Provideinsights into billing workflows, common claim errors, and automationopportunities to improve AI-driven billing tools.
    • Assist intesting and refining AI-powered RCM solutions, including automated claimsscrubbing and predictive denial management.
    • Collaboratewith the engineering and data science teams to train AI models forenhanced claims accuracy.

Requirements
Required Qualifications:
  • Education& Certification:
    • Associate'sor Bachelor's degree in Health Information Management, Business, or arelated field (preferred).
    • CertifiedProfessional Biller (CPB) or Certified Professional Coder(CPC) (preferred).
  • Experience:
    • 2+ years ofexperience in medical billing, claims processing, or revenue cyclemanagement.
    • Strongknowledge of CPT, ICD-10, and HCPCS coding systems.
    • Experienceworking with Medicare, Medicaid, and commercial insurance payers.
  • TechnicalSkills:
    • Proficiencywith billing and practice management software such as:
      • ElectronicHealth Records Systems: Epic, Cerner, Athenahealth
      • Clearinghouseplatforms: Emdeon, Availity, Change Healthcare, Waystar, Kareo
    • Experiencewith ANSI X12 837 EDI claims processing.
    • Strong Exceland data analysis skills for tracking claim performance.
    • Familiaritywith AI-based RCM tools is a plus.
  • Soft Skills:
    • Stronganalytical and problem-solving skills for identifying claimdiscrepancies.
    • Excellentcommunication and collaboration skills to liaise with providers andpayers.
    • Ability towork independently and in a team environment in a fast-pacedsetting.

Join CMCI to help revolutionize the future of AI-powered medical billing!
All qualified applicants will receive consideration for employment without regard to any characteristic protected by local, state, or federal laws, rules, or regulations

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