Medical Billing and Case Management Specialist

Job Summary

Managing accounts receivable and resolving claim issues, the full-time Medical Billing and Case Management Specialist will oversee claims processing, denial management, and ensure compliance with best practices while working remotely.

Key responsibilities

• Manage accounts receivable, analyzing aged AR and identifying root cause issues
• Investigate and resolve claim denials, including contacting payer representatives as needed
• Serve as an escalation point for complex claim issues and ensure optimal revenue cycle functionality

Required qualifications

• High School Graduate
• 5+ years of experience in a physician medical billing office or equivalent claims experience
• Understanding of revenue cycle performance drivers and complex claims resolution
• Proficiency in Microsoft Excel, including pivot tables and formulas
• Experience with Salesforce for case management preferred