
Medical Billing Consultant
4 days ago
About the Role
We are seeking an experienced Medical Billing Consultant to help us understand, structure, and improve our U.S. medical billing processes. Our internal team is non-technical and new to the domain — we're looking for someone who can break down the entire billing workflow, train our team, and guide the setup of an efficient, compliant billing system from scratch.
This is a strategic, advisory role, with occasional hands-on billing support when needed.
Key Responsibilities
- Educate and guide a non-technical team on the end-to-end U.S. medical billing cycle.
- Explain billing workflows, tools, codes, and terminologies in a simplified and structured manner.
- Help design or improve current billing processes — from patient intake to claim submission and denial management.
- Recommend systems, templates, or software suited to our needs.
- Provide oversight and direction as we build internal capability in billing.
- Step in for limited hands-on billing tasks (if needed) to demonstrate best practices.
- Share insights on how to avoid common errors, reduce rejections, and ensure compliance.
Requirements
- Minimum 5–7 years of U.S. medical billing experience, with a strong understanding of how to teach and guide non-specialists.
- Familiarity with CPT, ICD-10, HCPCS codes, insurance guidelines, and denial workflows.
- Proven experience working in or consulting for medical billing teams, especially in BPOs or remote setups.
- Comfortable with common billing software (e.g., AdvancedMD, Kareo, Athena, eClinicalWorks).
- Strong communication and mentorship skills — able to explain complex billing systems in simple terms.
- Availability for 2 hours per day, flexible to team timing.
Preferred Qualifications
- Experience in pathology/lab billing will be a strong plus.
- Exposure to setting up or streamlining billing processes for small practices or offshore teams.
- Knowledge of automation tools or process optimization techniques is a bonus.
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