Senior Medical Billing Specialist

Our laboratory is a leading provider of wellness and toxicology testing services. We are committed to delivering accurate and timely results that support healthcare decisions.

We seek a detail-oriented medical billing specialist to contribute to our efficient revenue cycle management team.

Responsibilities include :

• Overseeing the accurate and timely processing of claims, compliance with payer guidelines and regulations.
• Reviewing and addressing billing discrepancies, rejections, and denials, implementing corrective actions as needed.
• Developing and implementing billing policies and procedures to improve accuracy and efficiency.
• Collaborating with coding and compliance teams to assure accurate coding and documentation.
• Analysing billing data and metrics to identify trends, issues, and opportunities for process improvements.
• Ensuring proper follow-up on unpaid and denied claims, managing appeals processes.
• Overseeing the use of billing software and electronic health record systems to ensure they are up-to-date and functioning properly.
• Staying informed about changes in US revenue cycle management practices and federal regulations to ensure our billing processes remain compliant and optimized.

We provide guidance and training to our billing team on evolving industry standards and policy updates.