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A Surgery Medical Group that is connected to a large Hospital system is seeking an experienced Sr. Medical Billing Collections Specialist with a strong background in appeals, denials management, insurance collections, and reporting. The Sr. Medical Billing Collections Specialist must have hands-on experience with physician or surgery billing, advanced analytical skills, and the ability to run and interpret reports in EPIC.
Job Responsibility:
Manage and resolve insurance denials and appeals in a timely and accurate manner
Perform insurance collections and follow up on outstanding claims to maximize reimbursement
Analyze revenue cycle trends and identify root causes of billing and reimbursement issues
Run, review, and interpret reports in EPIC to support operational and financial performance
Prepare recurring and ad hoc reports related to denials, appeals, collections, and billing activity
Support physician and/or surgery billing processes, ensuring accuracy and compliance with payer requirements
Use Excel to track metrics, analyze data, and create reporting tools
Collaborate with internal teams to improve workflow efficiency and revenue cycle outcomes
Requirements:
3+ years of experience in medical revenue cycle
Strong experience with appeals, denials management, and insurance collections
Experience with EPIC reporting and running operational or billing reports
Background in physician billing and/or surgery billing
Advanced analytical and problem-solving skills
Proficiency in Microsoft Excel, including reporting and data analysis functions
Strong attention to detail, communication, and follow-up skills
What we offer:
medical, vision, dental, and life and disability insurance