Senior Clinical Billing Specialist
Core
Expert in researching, analyzing, and resolving complex physician and hospital accounts to ensure accurate billing and reimbursement.
Role type
Senior Clinical Billing Specialist
Builds
Clean claims, appeal letters, and financial reports for payer and patient accounts
Domain
Healthcare revenue cycle management
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Healthcare revenue cycle expertise, contract analysis, claim adjudication, appeals management, cash reconciliation, HIPAA compliance, data analysis
Preferred skills
EPIC billing system knowledge
Responsibilities
Investigate account balances and non-payment causes, complete appeals to avoid write-offs, identify root causes of denials, complete cash reconciliation, assist patients with billing and insurance questions, update systems with demographic corrections, accept payments and post to accounts, read and interpret payer contract documents, prepare statistical reports and recommendations
Seniority
Senior, hands-on IC