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Medical Biller - Plastic Surgery (AR & Denial Management Focus) at Staffing for Doctors. Position Overview. We are seeking a detail-oriented and experienced . Medical Biller. with a strong background in plastic surgery billing and insurance follow-ups. The ideal candidate has hands-on experience handling Anthem BCBS claims, denial management, and preventing recoupments. This role requires strong analytical skills, persistence in AR follow-ups, and accuracy in claims processing.. This is a critical role that directly impacts revenue cycle performance and reimbursement timelines.. Key Responsibilities. Claims Processing & Submission. Submit accurate and timely claims for plastic surgery procedures . Review documentation for coding and billing accuracy . Ensure proper modifier usage when applicable . Insurance Verification & Payer Communication. Work extensively with Anthem BCBS . Verify benefits and confirm coverage for procedures . Communicate with insurance representatives regarding claim status . Denial Management. Analyze denied claims and identify root causes . Prepare and submit appeals with supporting documentation . Track and resolve denied and rejected claims promptly . Accounts Receivable (AR) Management. Follow up on outstanding claims . Monitor aging reports . Reduce AR days through consistent follow-ups . Required Experience. Proven experience in plastic surgery billing . Strong experience handling Anthem BCBS claims . Hands-on experience with claims denial management . Experience preventing and managing recoupments . Proficient in: . Availity . Practice Fusion . Technical Skills. Strong knowledge of CPT, ICD-10, and HCPCS coding . Understanding of payer guidelines and insurance workflows . Ability to interpret EOBs and ERA reports . Experience working AR aging reports . Soft Skills. Detail-oriented and highly organized . Strong problem-solving skills . Excellent communication skills (written and verbal) . Ability to work independently and meet productivity targets . Performance Expectations. Maintain clean claims submission rate . Reduce denial percentage . Improve AR turnaround time . Minimize recoupments through proactive review. Company Location: Philippines.