Senior Billing Specialist

Job Description

Job Description

Medical Billing & Accounts Receivable Specialist

We are seeking an experienced Medical Billing and Accounts Receivable Specialist to support a hospital-based group practice operating across multiple states.

This is not an entry-level 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. The candidate must be comfortable working with multiple payers, identifying billing issues, resolving claim delays, and helping ensure claims move efficiently through the revenue cycle.

Success in this role requires strong follow-through, attention to detail, independent problem-solving, good communication skills, and a strong overall understanding of the medical billing revenue cycle.

What You’ll Do

• 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

Required Experience & Qualifications

Please apply only if you meet the minimum experience requirements below.

• 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

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
• Ability 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
• Ability to identify trends and help build structure, tracking, and improved processes
• Positive, team-oriented mindset with a willingness to support overall billing operations

Education

• A degree is not required if you have relevant medical billing experience
• A degree without hands-on medical billing experience will not meet the requirements of this role

Compensation & Benefits

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

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

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