Medical Billing Specialist

Position Overview

We are seeking an experienced Medical Billing Specialist to work closely with our revenue cycle manager and drive financial performance through strategic billing practices. This role combines traditional healthcare billing expertise with cutting-edge AI technology to optimize claim processing, reduce denials, and maximize reimbursements across our healthcare network.

Key Responsibilities

Revenue Cycle Leadership

Oversee end-to-end medical billing operations, from patient registration through final payment collection

Manage billing team performance and productivity metrics, ensuring accuracy rates exceed 98%

Develop and implement billing policies and procedures that align with regulatory requirements and best practices

Monitor key performance indicators including days in A / R, collection rates, and denial percentages

AI-Enhanced Operations

Collaborate with our AI development team to optimize automated billing workflows and predictive analytics

Leverage machine learning tools to identify billing patterns, predict claim outcomes, and prevent denials

Train staff on AI-powered billing platforms and ensure seamless integration with existing systems

Analyze AI-generated reports to identify opportunities for process improvement and cost reduction

Compliance and Quality Assurance

Maintain current knowledge of ICD-10, CPT, and HCPCS coding guidelines

Conduct regular audits of billing practices and implement corrective action plans

Stay updated on healthcare regulation changes and adjust processes accordingly

Team Management

Lead, mentor, and develop a team of billing specialists and coding professionals

Conduct performance evaluations, provide ongoing training, and support career development

Foster a collaborative work environment that encourages innovation and continuous improvement

Required Qualifications

Technical Skills

Proficiency with major practice management systems (Epic, Cerner, Allscripts, or similar)

Advanced knowledge of medical coding (ICD-10, CPT, HCPCS)

Experience with electronic health records (EHR) and revenue cycle management platforms

Strong analytical skills with proficiency in Excel, SQL, or data analysis tools

Familiarity with AI / ML applications in healthcare preferred

Core Competencies

Deep understanding of insurance verification, authorization, and claims processing

Proven track record of improving billing performance metrics and reducing A / R days

Strong leadership and team development capabilities

Excellent communication and problem-solving skills

Detail-oriented with ability to manage multiple priorities in fast-paced environment

Professional Growth

Opportunity to work at the forefront of AI innovation in healthcare

Access to cutting-edge technology and continuous learning resources

Career advancement opportunities within a rapidly growing organization

Conference attendance and certification maintenance support

How to Apply

Send us your portfolio / resume at hr@combinehealth.ai along with these details :

How many years of billing experience do you have

What are some mistakes related to your work you have done in past and how did you overcome

Why do you want to join CombineHealth