Senior Billing Specialist

Senior Billing Specialist

Job Summary

• The Senior Revenue Cycle Management (RCM) Specialist is responsible for managing, optimizing, and
• overseeing the full revenue cycle process across insurance verification, charge capture, coding review,
• claims submission, denials management, and collections. This individual serves as the subject-matter
• expert and escalation point for complex payer, coding, or reimbursement issues. The Senior RCM Specialist
• helps drive financial performance and ensures compliance with industry standards and payer regulations.

Key Responsibilities

1. Claims Processing & Billing Oversight
2. Insurance Verification & Prior Authorizations
3. Denials, Appeals, & A/R Management
4. Payment Posting & Reconciliation
5. Compliance & Quality Assurance
6. Reporting & Process Improvement
7. Cross-Functional Collaboration

Required Qualifications

• Bachelors degree in Healthcare Administration, Business, Finance, or
• Minimum of 5 years of hands-on experience in U.S. medical billing and revenue cycle management.
• Strong expertise in insurance guidelines, reimbursement methodologies, and denial management
• strategies.
• Experience with common EMR/EHR and billing platforms (e.g., Athena, Kareo, eCW, DrChrono,
• Epic).

Skills

• Knowledge of CPT, ICD-10, and HCPCS coding principles.
• Strong analytical, organizational, and problem-solving ability.
• Excellent written and verbal communication for working with payers and providers.
• Ability to work independently, prioritize workload, and lead process improvement initiatives.
• High accuracy and attention to detail.