Senior Medical Billing Specialist
Core
Senior Medical Billing Specialist responsible for claims submission, denial management, and clinical documentation validation to ensure accurate reimbursement for Rooted Life's revenue cycle.
Role type
Senior Medical Billing & Denial Management Specialist
Builds
Clean claims, resolved denials, and compliant billing cycles for healthcare service lines
Domain
Healthcare Revenue Cycle Management (RCM)
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Medical billing, claims follow-up, payer resolution, CPT/HCPCS codes, ICD-10 codes, Medicaid billing requirements, EHR validation, Excel/Google Sheets
Preferred skills
Ritten.io experience, Medi-Cal/Medicaid billing, denial trend analysis
Responsibilities
Prepare and submit clean claims for all service lines; validate claims against clinical documentation in Ritten.io; monitor and correct clearinghouse rejections and errors; take ownership of denials and unpaid claims to resolve root causes; contact payers directly to resolve authorization, eligibility, and coding issues; cross-check claims for CalAIM compliance; maintain billing logs, denial trackers, and A/R aging reports; collaborate with Authorization Specialists and Care Managers to ensure documentation availability.
Seniority
Senior, hands-on IC