Senior Medical Biller

About the role

We are seeking a high‑performing Senior Medical Biller to manage our in‑house revenue cycle. The role focuses on claims follow‑up, denials, appeals, collections, and A/R management while serving as a primary contact for patient billing questions.

Key responsibilities

• Manage payer A/R in Athenahealth, resolve claim holds, follow up on unpaid claims, and appeal denials.
• Handle prior authorizations and predeterminations.
• Answer patient billing inquiries, explain EOBs, set up payment plans, and conduct outreach on outstanding balances.
• Post and reconcile payments accurately, preparing accounts for collections or write‑offs per policy.
• Monitor denial trends, provide regular A/R performance updates to practice leadership.
• Maintain accurate billing records and ensure outstanding accounts are resolved.

Required profile

• 3+ years of medical billing experience with hands‑on denial management, appeals, collections, and A/R.
• Proven success in reducing payer and patient A/R.
• Strong knowledge of commercial insurance, Medicare, and Medicare Advantage claims and payer portals.
• Excellent spoken English with clear pronunciation and strong comprehension for daily patient communication.
• Exceptional organizational and time‑management skills for high‑volume workloads.
• Strong technical aptitude and quick learning of EMR/EHR systems and digital communication tools.
• Compassionate, patient‑focused approach balancing customer service with effective billing practices.
• Comfortable being on camera and available in a virtual office during scheduled hours.
• Highly accountable, reliable, proactive, with a strong sense of ownership.

Required skills

• Athenahealth
• EMR/EHR systems
• Payer portals and digital communication tools