Senior Medical Billing Specialist
Senior Medical Billing Specialist
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
The ideal candidates will have at least 2 years of experience in medical billing AR Calling Denial Management or a related field and possess strong English proficiency. As part of our client-facing team you will be providing vital support to client operations by ensuring accurate and compliant medical billing operations through outbound calling data categorization and transcript analysis.
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Lead outbound calls to insurance companies and payors to collect comprehensive information including claim statuses detailed denial reasons payment discrepancies and any required follow-ups.
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Build and maintain professional relationships with external stakeholders to facilitate timely resolution of complex billing issues.
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Ensure all communication is conducted in full compliance with client guidelines healthcare regulations (e.g. HIPAA) and industry best practices.
Data Management Categorization and Reporting
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Independently manage accurate recording categorization and labeling of data using client-defined taxonomy ensuring alignment across teams.
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Identify gaps or inconsistencies in data categorization and proactively propose improvements to enhance reporting quality and analysis efficiency.
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Prepare and deliver detailed structured reports and dashboards to the client at agreed frequencies highlighting key trends and potential risks.
Advanced Call Transcript Analysis & Process Optimization
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Review and analyze recorded call transcripts to extract actionable insights identify denial trends systemic issues and patterns impacting claim outcomes.
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Synthesize findings into comprehensive reports and present recommendations for process enhancements contributing to the continuous improvement of billing and collection workflows.
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Collaborate closely with internal teams and client representatives to implement agreed process changes and measure their effectiveness.
Mentorship & Knowledge Sharing
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Provide guidance and support to junior team members in best practices for calling data labeling and analysis.
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Contribute to the development of internal training materials and knowledge bases.
- Minimum of 2 years of experience in medical billing insurance claims or a related field.
- Strong English proficiency both verbal and written.
- Familiarity with healthcare regulations and industry guidelines.
- Excellent communication skills with the ability to make outbound calls to insurance companies and payors.
- Detail-oriented and able to maintain accurate records.
- Ability to work independently while adhering to internal guidelines and procedures.
- Proficiency in Microsoft Office Suite or similar software; experience with medical billing software is a plus.
Additional Information:
This is a full-time position and the successful candidate will work closely with the clients team to support their AI-powered platform in improving medical billing operations. The role offers an opportunity for professional growth and development within a dynamic technology-driven environment.
Employment Type
Full Time
