Senior Billing Operations Associate

Job Summary

Detail-oriented and experienced, the full-time Senior Billing Operations Associate will manage key billing functions, including claim denials and payments, while working remotely in a dynamic healthcare environment.

Key responsibilities

• Serve as a subject matter expert in claim denials, payment posting, and remittance reconciliation, managing complex queues and optimizing workflows
• Analyze Explanation of Benefits (EOBs) and remittance advice (RAs) to identify root causes of denials and develop effective resolution strategies
• Proactively manage denied claims, conducting investigations and ensuring accurate resubmission to payers while maintaining organized records

Required qualifications

• Minimum of 5 years of experience in healthcare billing with expertise in managing complex claim denials and payment posting
• Proven ability to read and interpret complex EOBs and electronic remittance advice (ERAs)
• Comprehensive understanding of the complete claim lifecycle and payer-specific rules and regulations
• Extensive experience with billing software and navigating complex payer portals
• Demonstrated ability to mentor and support junior team members in a collaborative environment