Job 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. 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. #J-18808-Ljbffr

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