What are the responsibilities and job description for the Medical Biller position at Spark Community Solutions?
Company Description
Spark Community Solutions partners with healthcare providers and organizations to offer tailored management and operational support. Specializing in diverse areas such as small medical practices, SUD treatment facilities, hospitals, and insurance providers, Spark delivers innovative strategies to address complex challenges. From practice start-up and staffing to billing and financial systems, Spark helps improve efficiency, elevate care delivery, and enhance business performance. Our mission is to empower healthcare professionals, enabling them to focus on what matters most: delivering exceptional care.
Outpatient Multi-Specialty (Pain, SUD, Mental Health, Surgery)
Location: Remote
Type: Contract (1099)
Experience Level: Mid-Senior (5 years required)
About the RoleWe are seeking a high-level Medical Billing Specialist with a strong focus on denials and rejection management to support a growing outpatient multi-specialty practice.
Our specialties include pain management, substance use disorder (SUD), mental health, and outpatient surgery—requiring a candidate comfortable with complex billing environments and high-denial workflows.
This is a performance-driven role with growth potential, including increased hours and expanded responsibilities.
Key Responsibilities- Manage denials, rejections, and AR follow-up
- Correct and resubmit claims across multiple specialties
- Identify root causes (authorizations, modifiers, documentation gaps)
- Work high-value AR and maximize reimbursement
- Communicate with payers on escalated claims
- Track denial trends and recommend process improvements
- 5 years of outpatient medical billing experience
- 5 years of experience with Tebra (Kareo)
- Strong background in:
- Denials management
- AR recovery
- Multi-specialty billing
- Knowledge of CPT, ICD-10, and modifiers (25, 59, XS, etc.)
- Experience with Medicare, Medicaid, and commercial payers
- Valid U.S. driver’s license (required)
- Pain management, SUD, behavioral health, or surgical billing experience
- Experience with Medicaid-heavy populations
- Flexible contractor structure
- Direct impact on revenue performance
- Opportunity to grow into a larger role
- Submit your resume and a brief summary of your experience with Tebra and denial management, including measurable results.