Medical Billing and Denial Specialist

Overview

Do you dream in CPT codes? Does “clean claim” make your heart skip a beat? Then you might be just the billing hero we’ve been waiting for!

We’re looking for a Revenue Cycle Specialist who knows their way around claims, denials, and ledgers like a pro. If you thrive on solving puzzles, turning denials into dollars, and celebrating those “payment received” moments, keep reading! This is a in office position.

Duties

Claim Crusader: Prepare, review, and submit spotless insurance claims — electronic or old-school paper — faster than a payer can say “denied.”

️‍️ Coverage Detective: Verify patient insurance and eligibility, and snag those prior authorizations before they have a chance to slow things down.

Denial Ninja: Keep tabs on claim statuses, chase down unpaid or denied claims, and appeal like a pro until every dollar finds its way home.

Payment Maestro: Post payments, adjustments, and denials with precision — because accuracy is your superpower.

Billing Sleuth: Investigate and resolve billing mysteries, credentialing hiccups, and pesky payer rejections before they cause chaos.

Policy Prodigy: Stay in the know on payer quirks, billing codes, and compliance updates — because knowledge = fewer headaches later.

Credentialing Co-Pilot: Help keep our providers enrolled, updated, and contract-ready so we can keep the revenue flowing smoothly.

Aging Report Aficionado: Review those aging reports like a treasure map, working to uncover and collect every hidden gem of revenue.

Communication Champion: Team up with providers, staff, and insurance reps to squash revenue cycle roadblocks and celebrate the wins.

Process Improvement Partner: Jump in with ideas that make our systems sharper, our reimbursements faster, and our errors fewer.

HIPAA Hero: Guard patient information like a vault — confidentiality is your middle name.

Qualifications

• High school diploma or equivalent required; Associate’s or Bachelor’s degree in Healthcare Administration, Business, or related field preferred.
• Minimum 2–3 years of experience in medical billing, collections, or revenue cycle management.
• Strong understanding of medical terminology, CPT, ICD-10, and HCPCS coding.
• Knowledge of payer requirements, credentialing processes, and prior authorization workflows.
• Proficient in practice management and electronic health record (EHR) systems.
• Excellent organizational, problem-solving, and follow-up skills.
• Strong communication skills with the ability to work independently and in a team.
• Bonus Points If…
• You’ve worked with behavioral health billing — and understand the quirks that come with it.
  You’ve conquered multiple states or payer systems and lived to tell the tale.
  You bring ideas for process improvement and love finding smarter, faster ways to get results.
  ️ You stay cool under pressure and find satisfaction in turning chaos into clean claims.
  You love what you do — because accurate billing and steady cash flow make your day.

Core Competencies:

• Attention to detail and accuracy.
• Strong analytical and investigative skills.
• Ability to manage competing priorities in a fast-paced environment.
• Commitment to compliance and ethical standards.

Work Environment:

• Office-based (depending on company policy).
• Standard business hours, with occasional extended hours based on workload.

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

This position is essential in supporting our commitment to providing high-quality healthcare services while ensuring that all practitioners meet the required qualifications to deliver safe patient care.