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Required 3+ years of hands-on US medical billing. You've personally worked on claims, not just supervised people who do. Full-cycle experience. You've done submission, denials, AR, and posting — not only one function. If your background is AR follow-up alone, tell us; we'll consider it, but be straightforward about the scope. Professional (CMS-1500) billing. Facility/UB-04 experience is fine as a supplement, but our work is entirely professional outpatient. Payer fluency. Commercial, Medicare Part B, and Medicaid. You know how to read a remit, what the common CARC codes mean, and how to escalate when a payer rep is wrong. Fluent professional English, spoken and written, at a level where you can hold your own on a payer call and speak directly with US clinic staff. Reliable remote setup — private workspace, stable high-speed internet, and a backup plan for outages. Availability for US Eastern or Central business hours.