Senior Billing Leader

Key Responsibilities

• Process and submit insurance claims for a variety of payers, including Medicare, Medicaid, Tricare, and commercial insurance providers.

• Conduct thorough follow-up on claim denials and rejections, identifying the root causes and taking corrective actions.

• Collaborate with payers and internal teams to resolve claim issues and secure payment.

• Assist with verifying patient insurance coverage and eligibility as needed, and ensure claims meet payer requirements before submitting.

• Maintain accurate and organized records of claims, follow-ups, and resolutions in compliance with company policies and industry standards.

• Utilize Brightree software to manage billing workflows, track claims, and generate reports.

• Stay informed of the latest billing regulations and payer-specific policies, particularly those related to Tricare and DME.

• Deliver exceptional customer service by addressing patient billing inquiries and concerns.

Qualifications

Position Details

• High school diploma or equivalent required; associate degree in a related field preferred.

• Minimum of 2 years of billing experience in the healthcare or DME industry.

• Proven expertise in denial follow-up and resolution, with a results-driven approach.

• Knowledge of Tricare claims processing is highly desirable.

• Experience with Brightree software is a significant advantage.

• Familiarity with ICD-10 coding, HCPCS, and Medicare guidelines.

• Strong analytical skills, attention to detail, and the ability to prioritize tasks.

• Proficiency in Microsoft Office Suite, particularly Excel.

• Excellent communication and problem-solving skills.

• Competitive compensation structure based on experience.

• Flexibility to work as either a W2 employee or a 1099 contractor.

• Comprehensive benefits package available for W2 employees, including health, dental, and vision insurance.

• Opportunities for professional growth and development.

• A supportive and mission-driven work environment.