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We are seeking an experienced Medical Billing Specialist to manage end‑to‑end billing functions for a multi‑specialty healthcare practice. This role is responsible for claim submission, payer follow‑up, collections, and quality control across multiple providers, with exposure to concierge and out‑of‑network billing models. The ideal candidate is detail‑oriented, payer‑savvy, and comfortable managing both payer and patient communications while driving A/R resolution.
Job Responsibility:
Manage end‑to‑end medical billing, including claim submission, follow‑ups, payment resolution, and collections
Review charges and support coding accuracy for approximately 3–4 multi‑specialty providers prior to claim submission
Perform quality control and audit reviews of billing work completed by the billing team
Handle courtesy out‑of‑network (OON) billing and support concierge‑model practices
Manage high‑volume phone and email correspondence with insurance payors and patients
Follow up on unpaid, denied, or underpaid claims to reduce A/R backlog
Support sales collections and reimbursement initiatives
Maintain accurate billing documentation and detailed account notes
Ensure compliance with payer requirements, internal workflows, and industry best practices
Requirements:
Demonstrated experience in medical billing within a private practice environment
Strong ability to review coding and charge data for accuracy and completeness
Familiarity with out‑of‑network and concierge billing models
Experience supporting multi‑specialty practices
Ability to effectively multitask across phone, email, and billing systems
Strong written and verbal communication skills
Experience with internal medicine and/or cardiology billing preferred
Hands‑on experience with Kareo/Tebra and/or eClinicalWorks preferred
Nice to have:
Experience with internal medicine and/or cardiology billing
Hands‑on experience with Kareo/Tebra and/or eClinicalWorks