Senior Medical Biller / Revenue Cycle Specialist

Responsibilities Full claims lifecycle for outpatient behavioral health services across commercial, Medicare, and Medicaid managed care payers Denials management: root-cause analysis, appeals, resubmissions, payer follow-up, and prevention AR aging triage, payer follow-up strategy, and escalation of recurring issues ERA/EOB posting and reconciliation against expected contracted rates Investigation of underpayments, rate anomalies, ERA disruptions, and recurring denial patterns Written process documentation for the revenue cycle lane Clear communication with the Practice Manager when a payer issue needs leadership attention Requirements 3+ years of hands‑on medical billing, revenue cycle, AR, or payer follow-up experience Real experience with denials management or AR follow‑up, not only payment posting or data entry Outpatient specialty billing experience Fluency with EOBs, ERAs, denial codes, appeals, resubmissions, timely‑filing rules, and payer portals such as Availity or similar systems Working knowledge of CPT and ICD‑10 coding for outpatient services Comfort handling PHI and working within HIPAA expectations Strong written documentation habits Core Competencies Demonstrates expertise in the full claims lifecycle for outpatient behavioral health services, with a strong focus on denials management, appeals, and revenue cycle processes. Proficient in handling EOBs, ERAs, and coding standards while ensuring compliance with HIPAA regulations. #J-18808-Ljbffr