Senior Medical Billing Specialist

A Senior Medical Billing Specialist at a healthcare company ensures accurate and timely medical billing processes, maintains compliance with regulations, and optimizes revenue cycle management. 

This role plays a critical part in the organization's financial health by managing billing operations efficiently and effectively.

Senior Medical Billing Specialists ensure the accuracy and timeliness of billing submissions, verify insurance coverage, and resolve any billing discrepancies or denials promptly.

Additionally, they collaborate closely with healthcare providers and insurance companies to streamline billing processes and optimize revenue cycle management.

Their expertise in medical billing regulations and compliance is essential in maintaining adherence to industry standards and regulatory requirements. By leveraging their knowledge and skills in revenue cycle management, they contribute to the financial health and operational efficiency of the organization.

Are you ready to take the lead in shaping the financial health of our healthcare organization? 

Join us as a Senior Medical Billing Specialist and oversee the entire medical billing cycle, ensuring compliance with regulations and optimizing revenue management!

Your expertise will be instrumental in resolving billing discrepancies, verifying insurance coverage, and streamlining billing processes to maximize revenue generation.

If you're detail-oriented, knowledgeable about medical billing regulations, and passionate about contributing to the financial success of a healthcare organization, we invite you to apply and join our dedicated team committed to delivering high-quality healthcare services.

• Review and analyze medical documentation for billing accuracy.
• Submit claims to insurance companies and follow up on outstanding balances.
• Process billing statements and invoices for patients.
• Resolve billing discrepancies and appeal denied claims.
• Stay updated on healthcare regulations and compliance requirements.
• Collaborate with healthcare providers to address billing inquiries.
• Monitor and report on key performance indicators related to billing processes.
• Conduct regular audits to ensure billing accuracy and compliance.
• Provide training and support to junior billing staff.
• Implement process improvements to streamline billing operations.
• Maintain confidentiality of patient information.
• Communicate effectively with internal and external stakeholders.
• Handle any billing-related escalations in a professional manner.
• Assist with financial reporting and analysis as needed.
• Participate in departmental meetings and training sessions.

• Implement new billing software/system successfully within the specified timeline.
• Ensure compliance with all relevant healthcare laws and regulations.
• Provide timely and accurate reports on billing performance.
• Maintain a high level of patient confidentiality and data security.
• Minimize billing disputes and increase patient satisfaction ratings.
• Meet monthly billing targets and deadlines consistently.

• Bachelor's degree in Healthcare Administration, Finance, or related field.
• Minimum of 5 years of experience in medical billing and revenue cycle management.
• Proficiency in medical billing software and MS Office applications.
• Knowledge of healthcare billing codes (CPT, ICD-10, HCPCS).
• Strong understanding of insurance guidelines and reimbursement practices.
• Excellent analytical and problem-solving skills.
• Attention to detail and accuracy in billing processes.
• Effective communication and interpersonal skills.
• Ability to work independently and as part of a team.
• Professionalism, ethics, and integrity in handling sensitive information.