Love a good puzzle? Put your problem-solving skills to work! We're looking for a part-time (20-25 hours) Medical Billing Denial Specialist for our busy pediatric practice to help turn claim roadblocks into resolutions. Reporting to the Billing Manager, you’ll follow up on outstanding claims, correct denials, and keep the billing process moving. 

Your mission: investigate, resolve, repeat

• Play claim detective. Investigate denied claims and uncover root causes, from coding errors and missing documentation to authorization issues and timely filing limits.
• Build a strong case. Prepare and submit accurate corrected claims, appeals, and supporting medical documentation to insurance carriers.
• Spot the patterns. Partner with the billing team and manager to identify denial trends and find ways to prevent repeat issues.
• Keep things moving. Follow up on aging outstanding claims through payer portals and direct phone calls.
• Be a helpful voice. Answer billing-related phone inquiries professionally and courteously.
• Team up on balances. Work with the billing team to resolve self-pay balances using the department’s monthly collection workflow.
• Pitch in. Take on other billing projects as directed by management.

What you’ll bring to the team

• A high school diploma or equivalent.
• Strong written and verbal communication skills, a talent for clear, evidence-based appeal letters, and a customer-service mindset.
• At least 3 years of billing experience; pediatric or family medicine billing experience preferred.
• Knowledge of third-party medical billing, including CPT and ICD-10 coding, denial management, appeals, and medical terminology.
• Proficiency with EHR and practice management/billing systems; Epic experience preferred.