Senior Physician Billing Specialist
Core
Reviewing and resolving failed medical bills and claims across multiple systems to ensure timely payment for healthcare providers.
Role type
Senior Physician Billing Specialist
Builds
Revenue cycle management solutions for health systems and physician groups
Domain
Healthcare Revenue Cycle Management
Deliverable
client delivery
Required skills
Medical billing and coding, claims adjudication, payer relations, Microsoft Excel proficiency, data entry, patient communication, documentation management, training development
Preferred skills
CPB certification, experience with multiple payers, knowledge of AI process improvement, typing speed 35 wpm
Technologies
Host billing systems, billing vendor platforms, EOB systems, Microsoft Excel
Responsibilities
Review and update failed bills and claims on host systems and billing vendors, resolve electronic submission errors and claim issues, monitor daily claims errors and recommend system fixes, process late charges and rebills, bill hardcopy claims with documentation, pull EOBs and medical records for claims, contact patients and insurance providers for billing data, create training documents and test staff
Seniority
Mid-level, hands-on IC