What are the responsibilities and job description for the Senior Medical Billing Specialist position at GlyCare® by Diabetes Management Partners?
We are seeking an experienced Medical Billing Specialist to support a hospital-based group practice operating across multiple states, with a primary focus on Insurance Accounts Receivable under 60 days.
This is not an entry-level role. The ideal candidate has hands-on experience managing early-stage A/R, ensuring claims move efficiently through the revenue cycle, and identifying and resolving issues before they age into long-term A/R.
This role is critical in a rapidly growing, multi-state environment. The candidate must be comfortable supporting new hospital implementations, identifying payer setup issues early, and ensuring A/R performance remains stable as the organization expands.
This role is focused on prevention, not cleanup—success is measured by reducing A/R aging before it becomes a >60-day issue.
What You’ll Do
Required Experience & Qualifications
Please apply only if you meet the minimum experience requirements below.
Salary range: $56,000 – $68,000 annually (commensurate with experience)
This position is onsite Monday - Friday
This is not an entry-level role. The ideal candidate has hands-on experience managing early-stage A/R, ensuring claims move efficiently through the revenue cycle, and identifying and resolving issues before they age into long-term A/R.
This role is critical in a rapidly growing, multi-state environment. The candidate must be comfortable supporting new hospital implementations, identifying payer setup issues early, and ensuring A/R performance remains stable as the organization expands.
This role is focused on prevention, not cleanup—success is measured by reducing A/R aging before it becomes a >60-day issue.
What You’ll Do
- Own and manage Insurance A/R under 60 days, ensuring claims are progressing toward timely payment
- Proactively follow up on newly billed claims and early-stage A/R to prevent aging beyond 60 days
- Identify and resolve issues early in the claim lifecycle (e.g., claim rejections, missing information, enrollment gaps, payer-specific requirements)
- Investigate and resolve unpaid or delayed claims across multiple payers
- Proactively research and resolve payer-specific issues, including contacting payers when needed
- Track, monitor, and manage A/R performance across newly onboarded hospitals
- Identify and escalate payer or setup issues early in new hospital implementations
- Develop and maintain tracking tools (Excel or similar) for payer issues, A/R trends, and potential risks
- Review, correct, and resubmit rejected or denied claims as needed
- Monitor trends and escalate recurring payer issues to prevent future delays
- Maintain accurate, audit-ready documentation of all follow-up activities
- Collaborate with internal teams to improve clean claim rates and reduce A/R aging
Required Experience & Qualifications
Please apply only if you meet the minimum experience requirements below.
- Minimum 2 years of recent experience, as described in a hospital-based or large group practice
- Strong experience with Insurance A/R follow-up focused on early-stage accounts (0–60 days) . Meaning having an understanding of and understanding why claims are being denied and how to fix it.
- Demonstrated experience working with multiple payers (commercial, Medicare, Medicaid, managed care)
- Experience supporting billing operations across multiple states or payer jurisdictions
- Experience supporting new hospital or practice onboarding, expansions, or implementations strongly preferred
- Working knowledge of payer guidelines, claim requirements, and reimbursement workflows
- Proven ability to identify issues early, problem-solve, and drive resolution independently
- Experience communicating directly with payers to resolve complex issues
- Proficiency with EMR and billing software
- Strong Excel skills for tracking and reporting
- Excellent attention to detail, organization, and follow-through
- Proactive thinker who identifies and resolves issues before they escalate
- Thrives in a high-growth, fast-paced, multi-state environment
- Ability to independently problem-solve in unstructured situations, including deciphering issues without predefined procedures or standard answers
- Strong problem-solver who can navigate new or unfamiliar payer requirements
- Comfortable working independently with minimal oversight
- Persistent and resourceful in resolving complex billing issues
- Ability to build structure, tracking, and processes in evolving operational environments
- Positive, team-oriented mindset with strong communication skills
- A degree is not required if you have relevant medical billing experience
- A degree without hands-on billing experience will not meet the requirements of this role
Salary range: $56,000 – $68,000 annually (commensurate with experience)
This position is onsite Monday - Friday
Salary : $56,000 - $68,000