A dedicated, remote medical billing specialist who submits clean claims, posts payments and works denials and aging AR during your US hours. Trained on your payer rules and HIPAA-aligned data handling, managed by RevHires, from $6 to $15 per hour.
Every payer has a timely filing limit and an appeal window. When your billing team is short a person, denials pile up, AR ages past 90 days, and claims that could have been corrected in ten minutes quietly become write-offs nobody decided to take.
When you hire a medical billing specialist through RevHires, you get a dedicated, managed biller who works inside your practice management system and clearinghouse on your workflow: charge entry, claim scrubbing, submission, payment posting, denial follow-up and patient statements. Your claims still go out under your practice. We train the specialist on your payer rules and SOPs before day one, score their work daily and replace underperformers at no extra staffing charge.
A medical billing specialist, also called a medical biller, billing representative or revenue cycle specialist, turns completed patient visits into paid claims. They enter charges from coded encounters, scrub and submit claims through a clearinghouse, post insurance and patient payments, read ERAs and EOBs, work rejections and denials, file appeals and follow up on unpaid AR. Billing sits next to medical coding, but a billing specialist focuses on getting claims paid rather than assigning codes from clinical documentation.
Enters charges from coded encounters into your practice management system with the CPT, ICD-10 and modifier combinations your coders assigned. Matches each charge to the right provider, location, place of service and payer so every claim starts clean.
Runs claims through your clearinghouse edits, fixes front-end rejections the same day and submits electronic claims in daily batches. Tracks acknowledgment reports to confirm each claim was accepted by the payer, not just sent, before it disappears into a queue.
Posts insurance payments from ERAs and paper EOBs, plus patient payments, to the correct line items. Records contractual adjustments, flags underpayments against your fee schedule and reconciles daily deposits so your books match what actually came in.
Reads denial and remark codes, identifies the root cause and fixes what can be corrected: wrong member ID, missing modifier, coordination of benefits or eligibility. Resubmits corrected claims and logs denial trends so you can stop the same mistake upstream.
Prepares appeal letters and reconsideration requests from your templates, attaching required documentation and records. Tracks appeal deadlines by payer, follows up until resolution, and escalates medical necessity disputes to your clinical or coding lead instead of guessing.
Works aging AR by bucket and dollar value, starting with claims nearest their timely filing limit. Checks claim status in payer portals, calls payers when portals stall, and documents every touch with a reference number and a next action date.
Generates patient statements on your cycle, answers patient billing questions from approved scripts, sets up payment plans within your policy and routes disputes to your billing manager. Every patient interaction is documented in the account for the next person who opens it.
Delivers weekly reporting on claims submitted, clean claim rate, denials by reason, payments posted and AR by aging bucket. Gives you a clear view of cash flow and where revenue is stuck, without waiting for month-end close to find out.
Every profile includes a voice clip, enterprise background, English level and a scored role play.
Billing candidates complete a hands-on claims test: a set of sample ERAs to post, five denials to diagnose by CARC and RARC code, and an aging AR list to prioritize against timely filing limits. We grade the root cause and next action they choose, not just speed. They also write a short appeal letter from a template, run a mock payer claim status call, and pass an English comprehension test and a spreadsheet reconciliation exercise.
The US figure is the BLS national median for billing and posting clerks, the closest federal category to medical billers, plus a 30% load for payroll taxes and benefits. Billers with specialty or coding depth may cost more in your market, so treat it as a conservative baseline. It excludes recruiting and turnover. Through RevHires, a full-time hire in this role typically earns $6 to $15 per hour. The RevHires figure uses the top of that range, $15 per hour at 40 hours, paid direct to your hire or through RevHires, plus one flat placement fee. Want the team managed for you? Done-for-you pricing is covered on your strategy call.
Your ICP, offer, scripts, tools and targets.
Your tone, scripts and objection tree, trained in.
Live role plays against your real objections.
Scorecard set to your definition of good.
Dials, tickets or tasks, with daily reporting.
One all-inclusive rate, month to month, based on your hours and team size. No payroll tax, benefits or recruiting fees. Quick replacement on every managed plan.
Through RevHires, a full-time medical billing specialist typically earns $6 to $15 per hour, about $1,040 to $2,600 per month, paid direct to your hire or through RevHires. You pay one flat placement fee, and only when you hire. Want the team managed for you? Done-for-you pricing is covered on your strategy call.
Seven days. Day 1 is discovery on your payers, systems and billing workflow. Days 2 to 3 are SOP Voice Cloning on your posting rules, denial playbook and documentation standards. Days 4 to 5 are scenario training on real claim and denial types. Day 6 is QA calibration with your billing lead, and on Day 7 your specialist starts working your queue.
Yes. Our specialists are college-educated with near-native English, and many come from enterprise environments at companies like Microsoft, Oracle and Amazon. Payer calls need precise listening and clean notes, and patient billing calls need patience, so we test both in screening. Your approved scripts keep every patient conversation consistent with your policies.
Yes. Your specialist works US hours in your time zone, which matters in billing because payer provider lines, portals with live support and your own billing team all run on US business hours. You can choose a standard shift or an earlier start so posting and claim submission are done before your in-house team logs on.
Daily QA scorecards sample the specialist's work for posting accuracy, correct denial root cause, documentation quality and claims worked per shift. A RevHires pod lead coaches on misses and you get a weekly performance review. You set the targets, such as turnaround on denials or AR touched per day, and we manage to them.
Every RevHires engagement runs under NDAs and documented data handling protocols, and we sign a BAA with healthcare clients. Billing specialists are trained on HIPAA-aligned data handling for patient accounts and payer correspondence before go-live. They work inside your practice management system and clearinghouse with access you control, so data stays in your systems.
We replace them quickly at no extra staffing charge and train the replacement on your billing SOPs before they touch a claim. You are on month-to-month terms, so there is no long contract holding you to a weak performer. Because quality is scored daily, problems usually show up in the scorecard before they show up in your AR.
See the shortlist, hear the voice clips, and get the right hire in front of your buyers fast.