• Independently prepare and review private medical invoices according to the German Medical Fee Schedule (GOÄ) • Handle correspondence • Support invoice dispatch and perform administrative tasks • Temporary holiday cover (fully remote work possible)

• Review clinical documentation and assign accurate CPT, HCPCS, ICD-10, and E/M codes • Ensure coding complies with national coding guidelines, payer requirements, and Hope Network policies • Query providers to clarify documentation and support accurate code selection • Review and resolve coding-related claim edits, denials, and payer rejections • Collaborate with providers, billing teams, and leadership to improve coding accuracy and reimbursement • Analyze coding trends and prepare reports to support operational improvements • Provide coding education and guidance to providers and staff • Assist with special projects and revenue cycle initiatives while supporting efficient billing operations

• Review clinical documentation to assign appropriate ICD-10, CPT, and HCPCS codes for services rendered • Ensure coding accuracy and compliance with official coding guidelines and payer-specific requirements • Assist in identifying coding trends that may affect revenue or compliance • Perform audits • Query providers when documentation is unclear or insufficient for coding purposes • Monitor and work denial reports or queues to identify and analyze trends in denied or rejected claims • Research root causes of denials including coding errors, missing documentation, or payer-specific issues • Submit timely, well-documented appeals or corrections to payers • Maintain accurate records of denial outcomes and appeal statuses

Role Description We are seeking a detail-oriented and motivated Medical Billing Manager to join our growing healthcare team. This role is responsible for reviewing, researching, and resolving unpaid or denied insurance claims while ensuring accurate and timely reimbursement for medical services rendered. The ideal candidate is highly organized, an effective communicator, and comfortable working independently in a remote yet collaborative environment. - Review and follow up on outstanding medical insurance claims and unpaid balances - Investigate denied or underpaid claims and take corrective action as needed - Communicate with insurance carriers regarding claim status, appeals, eligibility, and payment discrepancies - Submit corrected claims and appeals in a timely manner - Maintain accurate documentation of account activity and follow-up efforts - Work collaboratively with billing, coding, and administrative teams to resolve claim issues - Identify trends in denials and recommend process improvements - Ensure compliance with HIPAA and all applicable healthcare billing regulations - Meet productivity and quality standards while managing multiple accounts and deadlines Qualifications - Certified Professional Coder (CPC) required - Previous experience in medical billing, insurance follow-up, or revenue cycle management preferred - Familiarity with EMR/EHR systems and medical billing software - Knowledge of insurance guidelines, CPT/ICD-10 coding, and payer requirements - Experience handling appeals and claim denials - Current Employees: must have been employed by ResPro for 6 months Preferred Qualifications - Proficient knowledge, skill, and interest in basic computer skills - Strong problem-solving skills with the ability to multi-task effectively - Excellent verbal and written communication skills - Excellent teamwork and collaboration skills - Comfortable working remotely while maintaining strong communication with team members - Strong attention to detail and organizational skills - Ability to work independently and manage priorities efficiently - Clean background check required Benefits - Comprehensive Health Care Plan (Medical, Dental, Vision) - Flexible Paid Time Off - Full Time position with a salary range of $60,000 - $65,000