Account Lead, Medical Billing Specialist

Role Overview

• Accurate charge entry and claim submission
• Clearinghouse management and rejection resolution
• Medical claim follow up with commercial, Medicare Part B, DME, Medicaid, and managed care plans
• Appeals and reconsiderations
• Payment posting and ERA reconciliation
• Secondary and coordination of benefits billing
• Patient balance review and communication coordination
• Aging report management and resolution
• Identifying underpayments and contractual discrepancies
• Serving as billing lead for assigned accounts
• Participating in client meetings and providing billing updates
• Identifying workflow inefficiencies and proposing solutions
• Collaborating with Triton departments
• Maintaining accurate documentation and ensuring HIPAA compliance

Requirements

• Minimum 5 years of medical billing experience
• Demonstrated experience with full cycle billing
• Strong knowledge of commercial insurance, Medicare Part B, Medicare DME, and Medicaid
• Experience with appeals and payer follow up
• Proficiency with billing software platforms, preferably AdvancedMD
• Strong written and verbal communication skills
• Ability to manage multiple client accounts simultaneously
• High level of organization and accountability

Benefits

• Flexible schedule