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Senior Medical Billing Associate - Denial Management & Payment Posting
Job Summary
We are seeking a dedicated and experienced Senior Medical Billing Associate with expertise in Denial Management and Payment Posting to join our dynamic team at Progressive Technology. This position will play a key role in ensuring the accuracy, efficiency, and timeliness of medical billing processes related to denials and payments. The ideal candidate will possess in-depth knowledge of the medical billing cycle, strong analytical skills, and the ability to resolve complex billing issues. If you are passionate about improving billing processes and ensuring optimal reimbursement, we would love to hear from you.
Key Responsibilities
Manage the denial management process for healthcare claims, including identifying and analyzing denials, determining root causes, and implementing corrective actions.
Process payment posting, ensuring that payments from insurance companies are accurately recorded and reconciled.
Review and resolve aged accounts, escalating complex issues to appropriate departments.
Collaborate with internal teams, including coding, insurance verification, and customer service, to resolve issues impacting billing accuracy.
Maintain a comprehensive understanding of payer policies, procedures, and coding guidelines.
Communicate effectively with insurance carriers and clients to resolve disputes and discrepancies.
Prepare and submit appeals for denied claims, ensuring all necessary documentation is provided.
Ensure compliance with all relevant healthcare regulations, including HIPAA, and maintain confidentiality at all times.
Provide mentoring and guidance to junior billing associates, assisting with their professional development.
Required Skills and Qualifications
Education: High School Diploma or equivalent required; Associates or Bachelors degree in healthcare, business, or a related field preferred.
Certification: Certified Medical Billing and Coding (CMBC) or equivalent certification highly preferred.
Experience: Minimum of 3 years of experience in medical billing, with a focus on denial management and payment posting.
Technical Skills: Proficient in medical billing software and electronic health record (EHR) systems. Familiarity with HIPAA compliance regulations.
Analytical Skills: Strong ability to analyze, interpret, and resolve complex billing issues and denials.
Communication: Excellent written and verbal communication skills, with the ability to interact effectively with internal teams and external parties.
Problem Solving: Strong critical thinking and problem-solving skills to identify and address billing discrepancies.
Experience
3+ years of experience in a medical billing environment, specifically in denial management and payment posting.
Experience working with insurance companies and healthcare providers to resolve billing issues.
Familiarity with healthcare reimbursement methodologies and insurance claim processes.
Previous experience working with claims management software and billing systems (e.g., Epic, Cerner, or other EHR platforms).
Working Hours
Full-time position, Monday to Friday, 8:00 AM – 5:00 PM.
Flexibility for remote work or hybrid schedule may be available, depending on the candidates experience and qualifications.
Knowledge, Skills, and Abilities
In-depth understanding of medical billing processes, denial management, and payment posting.
Knowledge of healthcare regulations, insurance policies, and reimbursement methods.
Ability to manage multiple tasks and prioritize effectively in a fast-paced environment.
Strong attention to detail with the ability to identify and resolve discrepancies in billing records.
Effective time management skills with the ability to meet deadlines consistently.
Ability to work independently with minimal supervision and as part of a team.
Strong customer service orientation, with an ability to communicate complex billing issues clearly and professionally.
Benefits
Competitive salary and performance-based incentives.
Health, dental, and vision insurance.
Paid time off (PTO) and paid holidays.
Retirement plan with employer matching.
Professional development opportunities and continuing education reimbursement.
Employee wellness programs and mental health support.
Remote work opportunities.
Collaborative and supportive work culture.
Why Join Us
At Progressive Technology, we are committed to innovation, excellence, and continuous improvement. As part of our team, you will work in a fast-paced, supportive environment with opportunities to make a meaningful impact on the healthcare billing process. We value our employees and provide opportunities for professional growth, ensuring you stay at the forefront of the medical billing industry. If you are looking for a career that combines your passion for healthcare with your skills in billing, this is the perfect role for you.
How to Apply
If you are excited about the opportunity to join a dynamic and growing team at Progressive Technology, please submit your resume and cover letter outlining your experience and qualifications. In your cover letter, be sure to explain why you are a great fit for this position. Apply via our website or email your application to us. We look forward to hearing from you!
