Medical Billing Specialist
New
T
TGH Senior Center Powered by Greenbrook MedicalHealthcare Primary Care
Remote within the U.S.; preference for those located in Eastern or Central time zones., Eastern or Central time zonesFull-TimeMiddle
Salary$21–$23 per hour, based on experience and qualifications
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Job Details
- Experience
- 5+ years of medical billing experience in primary care or managed care settings
Requirements
- 5+ years of medical billing experience in primary care or managed care settings.
- Strong experience with encounter data and claims workflows.
- Hands-on knowledge of eCW and Epic or similar systems.
- Experience using clearinghouses like Waystar or AdvancedMD.
- Understanding of HMO/PPO workflows and payer rules.
- High level of analytical and detail-oriented skills.
- Ability to work under volume with high accuracy.
- Ownership mindset for fixing billing issues.
- Understanding of CPT II codes for Quality and HEDIS reporting is a plus.
- Experience supporting physician billing in primary care is a plus.
- Understanding of managed care and value-based billing nuances is a plus.
Responsibilities
- Turn clinical encounter data into clean, compliant claims.
- Submit claims to payers with precision and timing to support the revenue cycle.
- Investigate and resolve denials, rejections, and discrepancies.
- Trace billing problems to their root cause and implement workflow fixes.
- Operate across eCW, Epic, Waystar, and AdvancedMD platforms.
- Audit billing workflows and provide recommendations for process improvements.
- Partner with clinical and administrative teams to ensure data integrity.
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