Medical Billing Specialist (Chirotouch, Chiropractic)

The specialist will work the practice's unpaid and denied claims: following up with payers, finding the root cause of each denial, and preparing corrected claims and appeals until they're resolved. The role requires chiropractic billing experience, strong attention to detail, consistent follow-up and experience with U.S. health insurance plans.

Key Responsibilities Review aging reports and follow up on any claim unpaid 30 days or more after submission Contact payers by phone, portal and website to check claim status and get resolution Analyze denials and remittance codes (CARC/RARC) to find the root cause Prepare and submit corrected claims, reconsiderations and written appeals, with supporting documentation Track every appeal through to a final decision, and escalate when a payer doesn't respond Work denied exam and evaluation claims, including modifier and medical necessity issues Note recurring denial trends and report them to the practice so the cause gets fixed at the front end Document all follow-up activity clearly in the practice management system Protect patient information and follow HIPAA requirements

Qualifications At least 2 years of experience with U.S. healthcare insurance A/R follow-up and denial management Chiropractic billing experience required Experience writing and submitting appeals and reconsiderations Familiarity with commercial insurance and government health plans Experience using payer portals and insurance websites