Medical Billing, Coding & Revenue Cycle Specialist

About the Opportunity

Xel Staffing is recruiting experienced Medical Billing, Coding & Revenue Cycle Specialists on behalf of an international healthcare client based in the United States.

We are seeking professionals with proven experience in medical billing, medical coding, healthcare customer service, and revenue cycle management (RCM). This is a phone-intensive role involving both inbound and outbound calls with U.S. patients, healthcare providers, and insurance companies.

The ideal candidate understands U.S. healthcare billing processes, communicates confidently over the phone, resolves complex billing issues, and can work independently while meeting performance targets.

Key Responsibilities

Handle high volumes of inbound and outbound calls with patients, healthcare providers, and U.S. insurance companies. Make outbound calls to insurance payers to follow up on unpaid claims, denied claims, outstanding balances, and payment discrepancies. Answer inbound calls regarding billing inquiries, insurance coverage, claim status, payment issues, and account concerns. Prepare, review, and submit medical claims to insurance companies. Review medical coding information using ICD-10-CM, CPT, and HCPCS guidelines. Verify patient insurance eligibility, benefits, and coverage. Investigate denied, rejected, or unpaid claims and coordinate corrections and resubmissions. Resolve complex billing inquiries and customer complaints while maintaining professionalism. Assist with payment posting, account reconciliation, and accounts receivable follow-up. Maintain accurate call notes, billing records, and customer interactions within EHR, CRM, and practice management systems. Support revenue cycle activities, including charge entry, claims processing, denial management, and collections follow-up. Meet call handling, productivity, quality assurance, accuracy, and customer satisfaction targets. Maintain compliance with HIPAA requirements and organizational policies.

Required Qualifications

Minimum of 2 years of professional experience in U.S. medical billing, medical coding, healthcare customer service, or revenue cycle operations. Proven experience handling inbound and outbound calls, preferably within a U.S. healthcare or medical billing environment. Strong understanding of U.S. healthcare insurance and reimbursement processes. Working knowledge of ICD-10-CM, CPT, and HCPCS coding systems. Experience with medical claims processing, insurance verification, and denial resolution. Excellent spoken and written English with clear, professional telephone communication skills. Ability to handle difficult conversations, resolve customer concerns, and manage escalations. Familiarity with EHR, CRM, or medical billing software. Strong multitasking, documentation, and problem-solving skills. Ability to work independently and meet call volume and productivity targets. Understanding of patient confidentiality and HIPAA requirements.

Preferred Qualifications

Professional certifications such as CPC, CCA, CCS, or CPB. Experience supporting U.S.-based healthcare providers, insurance companies, or medical billing organizations. Previous experience in a healthcare call center or BPO environment. Familiarity with Medicare, Medicaid, and commercial insurance plans. Experience with Epic, athenahealth, eClinicalWorks, AdvancedMD, or similar healthcare platforms. Experience in accounts receivable follow-up, payment posting, and denial management. Knowledge of call center performance metrics such as average handling time (AHT), first-call resolution (FCR), and quality assurance scores. Experience working with U.S. customers and insurance representatives.

Important Role Expectations

This position requires candidates who are comfortable spending a significant portion of their workday on the phone, making outbound calls and responding to inbound inquiries.

Candidates must demonstrate strong verbal communication skills, active listening, patience, and the ability to communicate with U.S.-based customers and insurance representatives in a professional manner.

About Xel Staffing

Xel Staffing connects qualified professionals with international companies seeking experienced talent. We recruit candidates with the skills, experience, and professionalism needed to support our clients' operations.

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