Senior Billing Specialist

About the role

The ideal candidate has hands-on experience with medical billing, insurance accounts receivable follow-up, claim resolution, denial management, payer communication, patient account support, and general revenue cycle duties. This role is important in a fast-paced, multi-state billing environment.

Responsibilities

• Manage insurance accounts receivable and follow up on unpaid, delayed, rejected, or denied claims
• Review claim status and determine appropriate next steps for resolution
• Investigate and resolve billing issues across multiple payers, including commercial, Medicare, Medicaid, and managed care plans
• Review, correct, and resubmit rejected or denied claims as needed
• Research payer-specific requirements and resolve issues related to claim submission, payment delays, eligibility, authorization, documentation, or reimbursement
• Communicate directly with payers to resolve billing and payment issues
• Identify trends in denials, rejections, or delayed payments and escalate recurring issues as appropriate
• Maintain accurate documentation of all follow-up actions, payer communications, and claim resolution steps
• Use Excel or similar tracking tools to monitor A/R trends, unresolved claims, payer issues, and potential risks
• Collaborate with internal teams to improve clean claim rates, reduce denials, and support timely reimbursement
• Assist with patient accounts receivable tasks as needed
• Handle patient phone calls professionally and assist with billing-related questions or account concerns
• Assist with minor payment posting or payment research as needed
• Support general medical billing functions as needed, including claim review, claim corrections, payment research, patient balance review, and revenue cycle support
• Cross-train in additional billing or revenue cycle functions as business needs evolve
• Learn and support new processes, systems, payer requirements, or roles within the revenue cycle department as needed

Requirements

• Minimum 2+ years of recent medical billing, insurance follow-up, or accounts receivable experience in a hospital-based, specialty, or large group practice setting
• Strong understanding of insurance A/R follow-up, denial resolution, and claim correction workflows
• General medical billing knowledge across multiple areas of the revenue cycle
• Understanding of patient A/R, payment posting, claim submission, denial management, and payer follow-up workflows
• Ability to identify why claims are being denied, delayed, or rejected and determine how to resolve the issue
• Demonstrated experience working with multiple payers, including commercial insurance, Medicare, Medicaid, and managed care plans
• Experience working with payer guidelines, claim requirements, reimbursement processes, and billing workflows
• Experience communicating directly with payers to research and resolve claim issues
• Ability to communicate professionally with patients regarding billing questions, account balances, and payment-related concerns
• Proven ability to problem-solve independently and follow issues through to resolution
• Proficiency with EMR and billing software
• Strong Excel skills for tracking, reporting, and organizing A/R follow-up
• Excellent attention to detail, organization, documentation, communication, and follow-through
• Willingness to cross-train, learn new skills, and support additional revenue cycle functions as needed

Qualifications

• A degree is not required if you have relevant medical billing experience

Key Traits for Success

• Strong problem-solver who can research, identify, and resolve billing issues independently
• Comfortable working in a fast-paced, multi-state billing environment
• Able to manage competing priorities and follow through on unresolved issues
• Persistent and resourceful when working through complex payer or claim issues
• Able to work independently with minimal oversight
• Comfortable deciphering issues without predefined procedures or standard answers
• Strong communication skills when working with payers, patients, internal teams, and leadership
• Able to understand how different areas of the revenue cycle connect and impact claim payment
• Flexible and open to cross-training in new processes, tasks, or roles
• Willing to learn new skills and support department needs as the organization grows
• Able to identify trends and help build structure, tracking, and improved processes
• Positive, team-oriented mindset with a willingness to support overall billing operations

Compensation & Benefits

Salary range: $56,000 – $68,000 annually, commensurate with experience

This position is on-site Monday - Friday (in Jacksonville, FL)