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TYPE OF WORK
Full Time
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SALARY
$5-7/hour based on experience
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HOURS PER WEEK
40
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DATE UPDATED
Jan 25, 2026
Genesis Pain Clinic (US Pain Management Practice) is hiring an experienced MEDICAL BILLER / REVENUE CYCLE MANAGEMENT (RCM) SPECIALIST.
This is a long-term, full-time remote role supporting a busy interventional pain clinic with Medicare, Medicare Advantage, commercial insurance, and Workers' Comp.
*** YOU MUST HAVE REAL BILLING EXPERIENCE AND BE ABLE TO WORK DENIALS INDEPENDENTLY. WE ARE NOT LOOKING FOR AN ENTRY-LEVEL TRAINEE. ***
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KEY RESPONSIBILITIES (RCM + BILLING)
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You will own the day-to-day billing workflow, including:
1) INSURANCE VERIFICATION / ELIGIBILITY
- Verify eligibility and benefits for Medicare, Medicare Managed Care, and commercial plans
- Confirm deductibles, co-insurance, referral requirements, and authorization requirements
- Document verification clearly in the billing workflow
2) PRIOR AUTHORIZATIONS (PROCEDURES + IMAGING)
- Submit and track prior authorizations using payer portals and/or phone calls
- Obtain and document authorization numbers and validity dates
- Coordinate with clinic team to collect required clinical documentation for approvals
- Comfortable with procedure authorizations commonly used in pain management (e.g., epidural steroid injections, facet/medial branch blocks, radiofrequency ablation)
3) CHARGE ENTRY / CLAIM CREATION IN ECLINICALWORKS
- Enter charges in eClinicalWorks Billing accurately
- Ensure the claim has correct:
> ICD-10 diagnosis support (based on documentation)
> CPT/HCPCS codes as required
> Modifiers as needed (payer-dependent)
- Submit claims and correct rejections
4) PAYMENT POSTING / RECONCILIATION
- Post payments/ERAs (as applicable) and reconcile claim status
- Ensure secondary billing happens when appropriate
5) DENIALS MANAGEMENT + RESUBMISSIONS + APPEALS
- Work denied/unpaid claims daily
- Understand and act on denial codes (including CARC/RARC concepts)
- Correct and resubmit claims properly (including corrected claim rules/frequency, when applicable)
- Prepare and submit appeals with clear supporting documentation and timelines
- Track outcomes and follow up until resolved
6) ACCOUNTS RECEIVABLE (A/R) FOLLOW-UP
- Follow up on aging claims and keep notes organized
- Communicate professionally with payer reps and document call reference numbers
7) REPORTING AND PROCESS IMPROVEMENT
- Provide a short weekly update:
> Top denial reasons + trends
> Biggest A/R issues
> List of claims blocked due to missing info
> Recommendations to prevent repeat denials
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PREFERRED (BIG PLUS)
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* Pain management, spine, ortho, neurology, or PM&R billing experience
* Workers' Compensation billing experience and workflows
* Experience working Medicare and Medicare Managed Care claims
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WORK SCHEDULE / COMMUNICATION
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* Full-time: 40 hours/week
* Must have significant overlap with US business hours (for payer calls and real-time issue resolution)
* Must be available for quick messaging check-ins when billing issues arise
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HOW TO APPLY (IMPORTANT)
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To be considered, you must follow these instructions exactly:
1. Apply through OnlineJobs.ph (please do NOT include external contact info)
2. In the FIRST LINE of your application message, type: GENESIS BILLING
3. Answer these questions in your application:
* How many years have you used eClinicalWorks Billing?
* Which payers have you worked (Medicare, Medicare Managed Care, BCBS, UHC, Aetna, Cigna, Workers' Comp, etc.)?
* Give one example of a denial you solved: what was the denial reason and what did you do step-by-step?
* What prior authorization portals/processes have you used?
* What is your internet speed and do you have a backup connection?
*** Applicants who do not follow instructions will not be considered. ***
