Sr. Billing Specialist

About the role

The revenue cycle doesn't run on optimism — it runs on discipline, deep payer knowledge, and someone who leads from the front when accounts get complex, denials get ugly, and the team needs a higher standard to rise toward. As the Senior Billing Specialist at Rebis Health, you own the hardest problems in our A/R, run our biweekly collections placement process, set the bar for team quality through hands-on QA and coaching, and build the systems that make everyone around you more effective.

Why This Role Matters

• You work assigned accounts at ≥2.0 touches per week, driving the 90+ day bucket down by ≥70% and the 120+ bucket by ≥50% — with a documented next step on every single touch.
• You're not the only person in the A/R, but you're the one who makes the hard calls on the hardest accounts and sets the standard for how aging gets managed across the team.
• You handle the highest-complexity denial mix — major payer disputes, escalations, Medicare and managed care situations — and hold your 14-day rework rate below 12%.
• Every account gets an outcome documented: rebill, appeal, escalate, or close. Nothing floats.
• You track overturn rates quarterly by denial category and build that data back into your approach — not just fixing the most recent denial, but improving the win rate on the categories that matter most.
• Your assigned payer accounts hit net collection benchmarks. You maintain payer playbooks so the knowledge isn't siloed in your head — and when a preventable denial category starts trending up, you move to fix it at the source, not just document it.
• Every account above the priority threshold is reviewed weekly and actioned. Escalations go out with full documentation within 2 business days. You build recovery plans for timely filing risk and recoupment exposure — nothing falls off because of a missed deadline.
• Collections placed on time, every two weeks, without error. You review all eligible accounts against TSI and Phone Collections criteria on a biweekly cycle and submit qualifying placements with ≤2% exception rate.
• Athenahealth documentation is complete before placement: final notice posted, correct status flags, notes current, upcoming visits and active disputes confirmed clear. This is a trust-sensitive workflow — you run it completely and without being reminded.
• You conduct ≥2 formal root cause analyses per month on recurring denials, corrective actions routed to the owners responsible for the upstream failure, fix adoption verified within 10 business days.
• You don't just close denials — you systematically reduce the categories of denials that come back.
• You set the standard — and then you actively help people reach it. You're not just the best biller in the room; you make the room better.
• Payer issues escalated fast and followed to closure. ≥95% of payer issues go out with complete evidence within 5 business days. You maintain a follow-up cadence until each issue is resolved and give leadership trend visibility without waiting to be asked for a report.