We are seeking a Medical Billing Resolution Specialist to ensure timely, accurate reimbursement and a clear, professional client billing experience. The role involves resolving denied, rejected, and held claims, and supporting medical necessity and authorization reviews.
Requirements
- High school diploma or equivalent required
- Associate degree or coursework in healthcare administration, medical billing, health information management, or a related field preferred
- 2–4 years of experience in medical billing, revenue cycle, or claims resolution in a healthcare setting
- Demonstrated experience resolving denied, rejected, or held claims
- Experience reviewing payer medical policies and working directly with insurance plans on claim status, appeals, and reimbursement issues
- Prior responsibility for accounts receivable follow-up, invoicing, and patient/client billing support
- Working knowledge of medical billing and reimbursement processes
- Proficiency with ICD-10 coding validation and basic understanding of medical necessity requirements
Benefits
- Exceptional paid time off policies
- 401k matching
- Health insurance options
- Company paid life, short-term disability, and long-term disability coverage
