Medical Biller (Full-Cycle) - Practice Fusion

This is a remote position.

Job Summary

RCM Staff BPO is hiring a full-time Medical Biller to support a U.S. medical billing company based in Texas that serves behavioral health practices. The Medical Biller manages the full billing cycle: entering charges, submitting clean claims, posting payments, following up on accounts receivable, handling prior authorizations, and working denials, with a focus on behavioral health billing. This role requires strong attention to detail, consistent follow-up, and experience working with U.S. health insurance plans, including behavioral health payer rules and authorizations.

Key Responsibilities

•     Enter charges and review CPT/HCPCS codes and modifiers against documentation before claims are released

•     Prepare and submit clean claims to payers and clearinghouses, and correct front-end rejections promptly

•     Post insurance and patient payments from ERAs and EOBs, reconcile deposits, and flag underpayments and variances

•     Work accounts receivable aging reports and follow up with payers on unpaid or delayed claims through to resolution

•     Research and resolve denials, correct and resubmit claims, and prepare appeals with supporting documentation

•     Initiate, submit, and track prior authorizations and re-authorizations, monitoring authorized units/visits against those used

•     Handle behavioral health billing, including telehealth claims, session and unit limits, and payer-specific authorization rules

•     Generate patient statements and respond to patient billing inquiries

•     Document all actions, claim status, and notes accurately in Practice Fusion

•     Protect patient information and follow HIPAA requirements

Qualifications

•     At least 2 years of experience in U.S. medical billing / revenue cycle

•     Experience using Practice Fusion

•     Hands-on experience across the full cycle: charge entry, claim submission, payment posting, A/R follow-up, denial management, and prior authorization

•     Experience with behavioral health billing and payer authorization requirements

•     Working knowledge of CPT, HCPCS, and ICD-10 codes and modifiers

•     Familiarity with commercial insurance and government health plans (Medicare and Medicaid)

•     Experience using payer portals, clearinghouses, and insurance websites

•     Strong written and spoken English

•     Excellent attention to detail and follow-up skills

•     Ability to work independently and manage multiple accounts

•     Reliable internet connection and a suitable remote workspace

Preferred Qualifications

•     Direct behavioral health billing experience (telehealth, authorizations, session and unit limits)

•     Experience supporting a U.S. medical billing company or a multi-specialty client base

•     Familiarity with Texas commercial and government payer plans

Schedule

•     Full-time position

•     Must be available during Central Time (U.S.) business hours

•     Final schedule will be determined based on practice needs

Work Arrangement

•     Remote,   Philippines-based applicants preferred