Medical Claims Billing Specialist
Hybrid
Core
Process medical claims, manage denials, and resolve billing issues for physician practices to ensure optimal revenue cycle performance.
Role type
Medical Claims Billing Specialist
Builds
Revenue cycle optimization and claim resolution workflows for physician practices
Domain
Healthcare / Medical Billing
Required skills
Denial management, Claim adjustments, Resubmission, Appeals, Revenue cycle analysis, EOB interpretation, Microsoft Excel, HIPAA compliance
Preferred skills
Medicare/Medicare Advantage experience, Athena experience, Google Suite
Technologies
Salesforce, Trizetto, Microsoft Excel, Google Suite
Responsibilities
Investigate and resolve claim denials, Respond to physician practice correspondence, Manage Salesforce cases, Collaborate with internal teams, Drive KPI achievement, Mentor team members
Seniority
Mid-level, hands-on IC