Key skills
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About this role
Role Overview
- Own daily and weekly medical claim submission
- Monitor clearinghouse activity and payer responses
- Correct and resubmit rejected claims
- Ensure timely, accurate claim throughput
- Manage payer denials and appeals
- Own A/R aging and follow-up cadence
- Escalate unresolved payer issues as needed
- Identify underpayments and discrepancies
- Maintain and improve billing workflows
- Document repeatable processes
- Prepare billing operations to scale from current volumes to 20k+ claims/month
- Partner with the Practice Manager to surface upstream issues related to eligibility, configuration, or documentation
- Provide structured feedback to prevent repeat billing errors
- Coordinate closely with Finance on cash visibility and performance
Requirements
- 3+ years of healthcare physician billing or revenue cycle experience
- Demonstrated experience billing professional physician services (non-facility)
- Medicare and/or Medicare Advantage billing experience
- Experience working claims end-to-end (submission through payment)
- Familiarity with eClinicalWorks
- Strong attention to detail and follow-through
- Comfort owning a full claims queue independently
Benefits
- Remote role!
- Competitive compensation based on experience
- Health, Dental, and Vision Insurance
- 401k
- PTO, Sick, Wellness leave, and Paid Holidays
- Opportunity for significant career growth and expansion of responsibilities
- Ability to reshape an industry and protect lives