Horizon Recovery seeks a Medical Coder / Revenue Cycle Specialist to oversee billing operations and ensure the financial health of our practice. In this role, you will take ownership of claims processing, payment posting, denial management, and reporting, ensuring accuracy, compliance, and efficiency in all revenue cycle functions.
What You'll Do
- Transmit claims through the EHR, scrub for accuracy, and ensure timely submission.
- Apply remits electronically and process both electronic and paper Explanation of Benefits.
- Work corrected claims, re-submit as needed, and manage claim denials through appeals and follow-ups.
- Post payments to client accounts, track balances owed, and reconcile discrepancies.
- Reconcile all payments received against bank deposits and internal records.
- Generate company productivity reports, including revenue per therapist and other KPIs.
- Maintain strict adherence to HIPAA, payer requirements, and billing standards.
What We're Looking For
- Minimum 3+ years of experience in medical billing, coding, and revenue cycle management.
- Medical coder licensed.
- Strong knowledge of EHR and billing workflows.
- Proficient in processing electronic and paper claims/EOBs.
- Hands-on experience with denial management, corrected claims, and appeals.
- Strong Excel/reporting skills, including pivot tables, formulas, and productivity metrics.
- Excellent organizational skills and high attention to detail.
- Strong communication skills for provider, payer, and team collaboration.
- Ability to work independently and meet deadlines in a fast-paced environment.
Nice to Have
- Experience with Athena or similar systems.
Technical Stack
- EHR systems
- Athenahealth EMR/EHR systems
- Billing software
- Excel
Work Mode
This is a global position.
Horizon Recovery is an equal opportunity employer.
