Medical Billing Specialist, Healthcare Revenue Cycle
Overview
You will own the full claims lifecycle for a multi-state healthcare provider, processing 200+ claims daily and resolving denials to protect $5M+ in annual revenue. You will join a Revenue Cycle team of 15, collaborating with intake, clinical, and billing staff. This role stands out for its hybrid schedule and a culture that prioritizes people first, with clear paths to senior billing or team lead positions.
What You'll Do8
- 1Submit and manage medical claims for AdvancedMD and EHR/EMR systems, ensuring accuracy and timeliness.
- 2Review and resolve claim rejections and denials from insurance payers, reducing first-pass denial rates by 20% within 90 days.
- 3Post payments and reconcile patient accounts, maintaining Excel ledgers for daily reconciliation.
- 4Communicate with insurance companies and patients to resolve billing questions and payment issues.
- 5Research unpaid claims and follow up on outstanding balances, prioritizing high-dollar accounts.
- 6Maintain accurate documentation and account notes in AdvancedMD for audit readiness.
- 7Identify process improvements in billing workflows and share ideas with the team.
- 8Collaborate with intake, clinical, and revenue cycle teams to support a seamless patient experience.
Requirements8
- 12+ years of medical billing experience, including claims submission and denial management.
- 2Working knowledge of insurance claims, payment posting, and reimbursement workflows.
- 3Hands-on experience with EHR/EMR systems and clearinghouses, such as AdvancedMD.
- 4Proficiency with Microsoft Office, including Outlook, Word, and Excel.
- 5Strong attention to detail and organizational skills for high-volume billing accuracy.
- 6Excellent communication and customer service skills for patient and payer interactions.
- 7Ability to work independently while contributing to a team environment.
- 8A positive attitude and willingness to learn and grow in a fast-paced healthcare setting.
Salary Insight
$50 - $73k per year
Location
Required Skills
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