
Senior Medical Billing Specialist
2 days ago
Medical billing professionals play a vital role in the healthcare revenue cycle, ensuring accurate and timely claims submission to maximize reimbursement.
The ideal candidate will possess strong analytical and organizational skills, with experience in end-to-end medical billing processes, including claims submission, payment posting, denial management, AR follow-up, and patient billing inquiries.
Proficiency in billing software and understanding of payer policies and compliance regulations are essential for success in this challenging yet rewarding career path.
- Manage complete RCM workflow from charge entry to payment posting
- Prepare and submit accurate electronic and paper claims to Medicare, Medicaid, and commercial insurers
- Verify benefits (VOB) and obtain prior authorizations for procedures and treatments
- Follow up on accounts receivable (AR) to ensure claim resolution and payment recovery
- Resolve claim denials, rejections, and appeals efficiently
- Post insurance and patient payments accurately and reconcile accounts
- Handle patient billing inquiries professionally and clearly
- Ensure compliance with HIPAA, insurance regulations, and industry standards
- Analyze billing trends, claim issues, and reimbursement discrepancies, and report findings
Requirements & Skills:
- At least 5 years of medical billing experience in a high-volume setting
- Knowledge of CPT, ICD-10, HCPCS, and billing guidelines
- Understanding of payer policies and the appeal process for denied claims
- Strong analytical, organizational, and communication skills
- Ability to work independently and in a team environment
Benefits include working in a dynamic team, fostering growth through professional development opportunities, maintaining excellent job satisfaction levels through positive feedback mechanisms. For more information please review our company requirements for compensation level as outlined within the standard scale calculation model applied according to set time intervals following initial hire date but without providing any specific financial figures or other details.
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