Senior Medical Biller

Job description

Position Summary We’re looking for a high-performing Senior Medical Biller to manage our in-house revenue cycle, with a primary focus on claims follow-up, denials, appeals, collections, and A/R management. The role also serves as a key point of contact for patient billing questions. This is a voice-intensive, patient-facing position. You will speak with patients by phone daily, including many older adults, so clear, fluent, and empathetic communication is essential. The ideal candidate is organized, proactive, detail-oriented, and experienced in managing a high-volume medical billing workload. Job Details Work Setup: Onsite Schedule: Monday–Friday, 8:00 AM–5:00 PM Mountain Standard Time Holidays : Observes U.S. federal holidays Key Responsibilities Manage payer A/R in Athenahealth, including resolving claim holds, following up on unpaid claims, and appealing denials through resolution. Manage prior authorizations and predeterminations. Manage patient A/R by answering billing inquiries, explaining EOBs and patient responsibilities, setting up payment plans, and conducting outreach on outstanding balances. Post and reconcile payments accurately and prepare accounts for collections or write-offs in accordance with company policy. Monitor and analyze denial trends and provide regular A/R performance updates to practice leadership. Maintain accurate and timely billing records while ensuring outstanding accounts are followed through to resolution. Qualifications 3+ years of medical billing experience, including hands-on experience with denial management, appeals, collections, and A/R. Proven experience reducing payer and patient A/R. Strong knowledge of commercial insurance, Medicare, and Medicare Advantage claims, including experience navigating payer portals. Excellent spoken English with clear pronunciation, natural pacing, and strong comprehension. Daily communication with patients is a core responsibility, including conversations with older adults. Excellent phone presence with the ability to explain billing and insurance concepts in a clear, simple, and empathetic manner. Exceptional organizational and time-management skills, with the ability to manage a highvolume workload while maintaining accuracy and attention to detail. Strong technical skills and the ability to quickly learn and navigate EMR/EHR systems and digital communication tools. Compassionate and patient-focused, with the ability to balance excellent customer service with effective billing and collection practices. Punctual, engaged, and comfortable being on camera and available in a virtual office throughout scheduled working hours. Highly accountable, reliable, and proactive, with a strong sense of ownership and follow-through. Employees are required to keep their cameras on during working hours, except during lunch and scheduled breaks. Candidates should be comfortable with this virtual office setup. Preferred Qualifications: Bachelor’s degree. CPB, CPC, or CRCR certification. Experience with Athenahealth. Candidates with experience using other relevant EMR/EHR systems may also be considered.