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This Contract to permanent position offers an exciting opportunity to manage comprehensive billing operations for a multi-specialty healthcare practice, with a focus on Ear, Nose, and Throat services. The ideal candidate will have expertise in claim submission, collections, and patient communications, as well as experience with out-of-network and concierge billing models.
Job Responsibility:
Manage the full cycle of medical billing processes, including claim submissions, payer follow-ups, payment resolutions, and collections
Review and ensure the accuracy of coding and charges for services provided by multi-specialty healthcare providers
Conduct quality assurance checks and audits of billing tasks performed by team members
Handle out-of-network billing and provide support for concierge-model practices
Investigate and resolve unpaid, denied, or underpaid claims to minimize accounts receivable backlog
Assist with collections and reimbursement strategies to optimize revenue
Maintain detailed and accurate billing records, including comprehensive account documentation
Ensure compliance with payer policies, industry standards, and internal workflows
Utilize systems such as Kareo/Tebra and eClinicalWorks effectively to streamline billing operations
Requirements:
Proven experience in medical billing within a private practice setting, preferably in an Ear, Nose, and Throat specialty
Strong ability to review and verify coding and charge data for accuracy and completeness
Familiarity with out-of-network and concierge billing models