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.