AI Summary & Insights Summary Insights Senior Medical Billing Specialist The insights provided are generated by AI and may contain inaccuracies. Please independently verify any critical information before relying on it. Senior Medical Billing Specialist The insights provided are generated by AI and may contain inaccuracies. Please independently verify any critical information before relying on it. Description We are seeking an experienced, proactive, and detail-oriented Medical Billing Specialist to manage end-to-end revenue cycle operations. This role is ideal for a self-starter who thrives working independently, takes complete ownership of billing workflows, and possesses strong operational leadership to coordinate effectively with offshore support teams. You will play a central role in ensuring clean claim submission, prompt denial resolution, and steady cash flow for our provider partners.

Requirements End-to-End Billing Operations:

Manage charge capture review, claim scrubbing, clean claim submission, payment posting (ERA/EFT and manual), and patient billing.

Denial & AR Management:

Proactively identify, appeal, and resolve unpaid, underpaid, or denied claims with commercial and government payers.

Independent Problem Solving:

Investigate payer trends, resolve complex billing rejections, and correct clearinghouse/claim edits with minimal supervision.

Communication & Compliance:

Communicate professionally with practice managers, providers, clearinghouses, and insurance payers while adhering strictly to HIPAA and payer guidelines.

Offshore Team Coordination:

Direct, quality-check, and collaborate with dedicated offshore support staff to delegate routine tasks (such as payment entry, eligibility verification, and basic AR follow-up) to optimize daily productivity.