Medical Biller

Full-time Non-exempt Direct Hire
Remote in the United States
$18 - $22 per hour starting wage range

Job Summary

We are seeking an experienced adaptable problem solver to join our medical billing team. As a Medical Biller at Expressable, you will play a critical role in optimizing revenue collection and timely reimbursement for provided services. The medical billing team is responsible for all aspects of patient billing, invoicing, collections, reconciliations, managing payment plans, and charge disputes, with an ability to handle specialized billing needs such as vendor/grant and early childhood intervention (ECI) programs.

About Expressable

Expressable is a virtual speech therapy practice on a mission to transform care delivery and expand access to high-quality services, serving thousands of clients since our inception in late 2019. We are passionate advocates of parent-focused intervention. Our e-learning platform contains thousands of home-based learning modules authored by our clinical team, helping SLPs empower caregivers to integrate speech therapy techniques into their child’s daily life and improve outcomes. Our mission is to set a new standard in speech therapy by  making every caregiver a champion of their loved one’s success. We envision a world where everyone can fulfill their communication potential.

WORK AUTHORIZATION: We are interested in every qualified candidate who is eligible to work in the United States. However, we are not able to sponsor visas at this time.

 What you would be doing at Expressable

• Own patient collections/invoicing/billing, reconciliations, payment plans, and charge disputes ensuring timely resolution and adherence to company policies.

• Coordinate and execute billing processes for new and transitioning clients including ECI, vendor, and partner programs.

• Conduct regular client record audits to ensure accuracy and adherence to medical coverage policies, identifying any discrepancies or potential issues.

• Calculate any applicable discount rates and manage account balances to discover outstanding debts or inconsistencies. 

• Address and resolve insurance-related issues such as benefits, processing status, invoices, payments, and balances in a timely and professional manner through effective client communication.

• Perform account follow-up, including investigating and resolving unpaid claims, patient collections, identifying trends, and implementing corrective actions to enhance revenue realization.

• Monitor and analyze payer accounts receivable aging reports, including 120+ days, to prioritize and address outstanding balances, ensuring timely reimbursement. 

• Manage past due client accounts, monitor payment plans, follow-up on client balances, and achieve goals for collection rates. 

• Collaborate with billing team, providers, and insurance companies to research and resolve claim discrepancies, denials, and rejections, maximizing revenue collection.

• Create and update information in electronic health records and CRM.

• Properly escalate items needing attention and partner with accounting and finance teams to resolve complex AR and reconciliation tasks.

• Ensure work is performed in compliance with company policies including HIPAA and other regulatory, legal, and safety requirements.

What you bring to Expressable

• 3+ years of medical billing experience, with a strong emphasis on collections and accounts receivable (A/R) follow-up.

• Demonstrated success reducing A/R days and improving collection rates.

• Experience working with multiple payers (commercial, Medicare, Medicaid) and handling claim denials and appeals.

• Proficient in Apple products (i.e., MacBook) and Google Suite (Docs, Sheets, Mail, Drive).

• Hands-on experience with one or more EHR/EMR and billing software systems.

• Comfortable using digital communication tools (e.g., Slack, Google Workspace) and cloud-based billing platforms.

• Skilled in using spreadsheets and documentation tools to track claims and collection activities.

• Experience with Salesforce or other Customer Relationship Management (CRM) platforms.

• Proven ability to work independently and manage time effectively in a remote role.

• Deep understanding of HIPAA, coding standards (CPT/ICD-10), and payer requirements.

• Committed to handling sensitive patient information securely and ethically.

Bonus Traits

• Experience in a startup or high-growth healthcare environment

• Ability to suggest or implement process improvements for billing workflows

• Bilingual or multilingual communication skills

• Certification (e.g., CMRS, CPB, or CBCS)

Key Competencies for this Role

• Professionalism: Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments. 

• Attention to Detail: Double-checks the accuracy of information and work product to provide accurate and consistent work. Provides information on a timely basis and in a usable form to others who need to act on it. Carefully monitors the details and quality of one's own and others' work.

• Time Management: Effectively manages one’s time and resources to ensure that work is completed efficiently. Prioritizes and identifies more critical and less critical activities and tasks; adjusts priorities as appropriate. Ensures that high-priority work is accomplished within required timelines. Leverages resources by working with available resources (individuals, processes, departments, and tools) to complete work efficiently. 

• Customer Service: Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments. Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.

• Problem Solving: Identifies and resolves problems in a timely manner. Gathers and analyzes information skillfully. Develops alternative solutions. Works well in group problem solving situations. Uses reason even when dealing with emotional topics. 

• Adaptability: Adapts to changes in the work environment. Manages competing demands. Changes approach or method to best fit the situation. Able to deal with frequent change, delays, or unexpected events.
  

BENEFITS AT EXPRESSABLE

• Exceptional paid time off policies that encourage and support life balance

• 401k matching to ensure our staff have what they need to enjoy their retirement

• Health insurance options that ensure well being for the whole person and their family

• Company paid life, short-term disability, and long-term disability coverage

• Remote work environment that strives for connectivity through professional collaboration and personal connections

More about Expressable

Expressable values people. From the technology we develop, the services we provide, and the culture we maintain, Expressable cares about the experience of our employees, clients, and prospects. We intentionally create and sustain supportive environments in which everyone - clients, caregivers, speech-language pathologists, and team members - can achieve their highest potential.

We believe that building trusting and collaborative relationships is paramount to delivering quality care so we operate with the highest levels of honesty, transparency, and accountability as individuals and a collaborative team. We believe that transforming therapy happens through the steady and iterative problem solving of an interdisciplinary team.

Expressable is an equal opportunity workplace. We celebrate and embrace diversity and are committed to building a team that represents a broad tapestry of backgrounds, perspectives, and skills.

Expressable is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Expressable will take the steps to ensure people with disabilities are provided reasonable accommodations. Accordingly, if reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact us at hr@expressable.io.

E-Verify

Federal law requires all employers to verify the identity and employment eligibility of all person hired to work in the United States. Expressable participates in E-Verify.

E-Verify Participation Poster

E-Verify Right to Work Poster