Experienced Medical Biller / RCM Specialist - eClinicalWorks Required

Genesis Pain Clinic is a US-based interventional pain management practice looking for an experienced Medical Biller / Revenue Cycle Management Specialist.

This is a full-time, long-term role for someone who already has real US medical billing experience and hands-on eClinicalWorks billing experience.

Schedule:
Monday-Friday
8:00 AM-5:00 PM US Central Time
40 hours per week

Pay:
$7-$11 USD per hour depending on verified experience

We are looking for someone who can work independently, communicate clearly, and help keep the revenue cycle moving.

This is not an entry-level role.
This is not a general VA role.
This is not scheduling-only work.

The right person should already understand US medical billing, claim follow-up, denials, payment posting, A/R, payer portals, and eClinicalWorks billing workflows.

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WHO WE ARE LOOKING FOR
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We are looking for a reliable, detail-oriented medical biller who can take ownership of day-to-day billing work.

You should be comfortable with:

- eClinicalWorks billing workflows
- Claim submission
- Claim status follow-up
- Clearinghouse rejections
- Denial management
- Corrected claims
- Appeals and reconsiderations
- A/R follow-up
- Payment posting
- Manual payment posting
- Insurance verification
- Prior authorization support
- Payer portal follow-up
- Clear documentation of claim notes and payer calls

You do not need to know everything about our clinic on day one, but you must already have strong billing experience and the ability to learn payer rules independently.

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REQUIRED EXPERIENCE
------------------------------------------ ---------- + years of US medical billing / RCM experience
- Hands-on eClinicalWorks billing experience
- Experience working denials and unpaid claims
- Experience with claim submission and claim correction
- Experience with payment posting from ERA/EOB
- Experience using payer portals
- Strong written English
- Strong attention to detail
- Able to work independently
- Able to document payer calls, reference numbers, claim status, and next follow-up dates

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STRONGLY PREFERRED EXPERIENCE
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- Pain management billing
- Interventional procedure billing
- Workers' Compensation billing
- Orthopedic, spine, PM&R, neurology, anesthesia, or specialty billing
- Prior authorization for procedures
- Medicare and Medicare Advantage
- Commercial payers such as BCBS, UHC, Aetna, Cigna, Humana
- Out-of-network billing
- Appeals and medical necessity denials
- Underpayment review
- Coding certification or strong coding knowledge

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MAIN RESPONSIBILITIES
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You may help with:

1. Claim Submission and Claim Review

- Review claims before submission
- Check CPT, ICD-10, modifiers, units, payer, and place of service
- Submit clean claims
- Correct rejected claims
- Prevent duplicate billing
- Identify missing information before submission

2. Denial Management and Appeals

- Work denied and rejected claims
- Identify the reason for denial
- Determine whether a corrected claim, reconsideration, appeal, or records submission is needed
- Submit corrected claims when appropriate
- Prepare appeals or reconsiderations when appropriate
- Track outcomes until resolved

3. A/R Follow-Up

- Work aging and unpaid claims
- Check payer portals
- Call payers when needed
- Document reference numbers
- Add clear next follow-up dates
- Identify repeated denial patterns or billing problems

4. Payment Posting

- Post ERA/EOB payments accurately
- Manually post payments when needed
- Apply contractual adjustments correctly
- Identify patient responsibility
- Identify underpayments, recoupments, offsets, or unusual adjustments
- Reconcile balances

5. Insurance Verification and Prior Authorization Support

- Verify benefits when needed
- Confirm deductible, copay, coinsurance, and out-of-pocket status
- Check authorization requirements
- Document payer portal confirmations or call reference numbers
- Help prevent authorization-related denials

6. Reporting and Communication

- Keep billing notes clear and organized
- Send daily or weekly productivity updates
- Report blockers early
- Communicate professionally with the clinic team
- Suggest process improvements when you notice repeated issues

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eCLINICALWORKS EXPERIENCE
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Hands-on eClinicalWorks billing experience is required.

Please apply only if you have personally worked inside the billing side of eClinicalWorks.

Helpful eCW experience includes:

- Claim review
- Claim submission
- Claim status
- Claim notes
- Payment posting
- Denial tracking
- Corrected claims
- A/R follow-up
- Insurance review
- Attaching or referencing payer documentation

If you only used eCW for scheduling, this role is probably not the right fit.

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DEDICATED FULL-TIME SCHEDULE
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This is a dedicated full-time role during our scheduled work hours.

During paid working hours for our clinic, you must be focused on our work.

During our scheduled shift, you may not:

- Work for another client
- Work for another employer
- Work for another agency
- Monitor another client's messages
- Attend another client's meetings
- Run another time tracker
- Subcontract your work
- Share logins

We understand that some professionals may have outside commitments. However, no outside work may overlap with our scheduled paid hours.

Before hire, you will be asked to disclose any current clients, employers, agencies, or recurring paid work that could affect your schedule.

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TIME TRACKING AND WORK TRANSPARENCY
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Time Doctor will be used for timekeeping, payroll support, and work transparency.

We may review time, activity, screenshots, apps/websites used for work, and work output when needed.

Performance is not judged by activity alone.

Performance is judged by:

- Accurate billing work
- Claims moved forward
- Denials resolved
- Payments posted correctly
- Clear claim notes
- Timely follow-up
- Good communication
- Ability to work independently

Paid time must match real billing work and documented output.

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COMMUNICATION EXPECTATIONS
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You must be available during US Central business hours.

You should be responsive on Microsoft Teams during the workday, especially for payer issues, claim questions, urgent billing problems, and scheduled check-ins.

If you are on a payer call, in a meeting, or working on a focused task, that is understandable. We value clear communication and reliable availability.

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THIS ROLE IS A GOOD FIT IF
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This role is a good fit if you:

- Have real US medical billing experience
- Have worked hands-on in eClinicalWorks
- Can work denials independently
- Can follow up on A/R without constant reminders
- Know how to use payer portals
- Can document clearly
- Are comfortable with a dedicated full-time schedule
- Want a stable long-term role with a US medical clinic
- Are honest about your experience and availability

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THIS ROLE IS NOT A GOOD FIT IF
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This role is not a good fit if you:

- Have no hands-on eClinicalWorks billing experience
- Only know scheduling or basic eligibility
- Are looking for entry-level training
- Cannot work US Central Time hours
- Already have another job that overlaps with our schedule
- Are applying as an agency
- Plan to subcontract the work
- Cannot document claim follow-up clearly
- Need constant step-by-step instruction for routine billing tasks

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HOW TO APPLY
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Please follow these instructions carefully.

The first line of your application must be:

ECW RCM BILLER

Then answer these 4 questions:

1. How many years of US medical billing / RCM experience do you have, and which specialties have you billed for?

2. What eClinicalWorks billing tasks have you personally performed?
Examples: claim submission, claim notes, payment posting, denial tracking, corrected claims, A/R follow-up, insurance review.

3. Which RCM tasks can you perform independently?
Examples: denials, A/R follow-up, payment posting, manual posting, claim submission, claim scrubbing, VOB, prior auth, appeals, payer calls.

4. Are you currently working for any other client, employer, agency, or freelance project? If yes, list your schedule. Confirm whether you can work Monday-Friday, 8:00 AM-5:00 PM US Central Time with no overlapping work.

Please also include your requested hourly rate in USD.

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SELECTION PROCESS
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Qualified applicants will be contacted for a short interview.

Finalists may be asked to complete a live workflow discussion or a short paid trial task so we can confirm eClinicalWorks and RCM experience.

We are hiring based on demonstrated billing skill, reliability, communication, integrity, and actual work quality.