Senior Billing Specialist
Core
Reviewing and resolving failed medical bills and claims across multiple systems to ensure patient payments are processed.
Role type
Senior Billing Specialist
Builds
Cleaned claim data and resolved payment issues for hospitals and physician groups
Domain
Healthcare Revenue Cycle Management
Deliverable
client delivery
Required skills
Medical billing and coding, claims adjudication, payer communication, Microsoft Excel, data entry, training development
Preferred skills
Certified Revenue Cycle Representative (CRCR), Certified Professional Biller (CPB), experience with multiple payers, AI process improvement
Technologies
Host billing systems, billing vendor platforms, EOB systems
Responsibilities
Review and update failed bills and claims on host systems and billing vendors, resolve electronic submission errors, monitor daily claims errors and recommend system fixes, bill hardcopy claims with documentation, pull EOBs and medical records, contact patients and insurance providers for billing data, create training documents and test staff
Seniority
Mid-level, hands-on IC