Senior Medical Billing Specialist

Role & responsibilities

• Manage the complete US healthcare medical billing and revenue cycle management (RCM) process.
• Review and submit accurate medical claims to insurance companies through clearinghouses.
• Perform insurance verification, eligibility checks, charge entry, payment posting, and claim follow-up.
• Investigate and resolve claim denials, rejections, underpayments, and payment discrepancies.
• Prepare and submit appeals, reconsiderations, and corrected claims based on payer requirements.
• Review EOBs, ERAs, CPT, HCPCS, and ICD-10-CM codes for billing accuracy.
• Identify recurring denial trends and take corrective action to reduce AR days and denial rates.

Preferred candidate profile

Perks and benefits