Senior Medical Billing Specialist

The ideal candidates will have at least 2 years of experience in medical billing, AR Calling, Denial Management or a related field and possess strong English proficiency. As part of our client-facing team, you will be providing vital support to client operations by ensuring accurate and compliant medical billing operations through outbound calling, data categorization, and transcript analysis.

• Outbound Calling & Stakeholder Management

Lead outbound calls to insurance companies and payors to collect comprehensive information, including claim statuses, detailed denial reasons, payment discrepancies, and any required follow-ups.

Build and maintain professional relationships with external stakeholders to facilitate timely resolution of complex billing issues.

Ensure all communication is conducted in full compliance with client guidelines, healthcare regulations (e.g., HIPAA), and industry best practices.

Data Management, Categorization, and Reporting

Independently manage accurate recording, categorization, and labeling of data using client-defined taxonomy, ensuring alignment across teams.

Identify gaps or inconsistencies in data categorization and proactively propose improvements to enhance reporting quality and analysis efficiency.

Prepare and deliver detailed, structured reports and dashboards to the client at agreed frequencies, highlighting key trends and potential risks.

Advanced Call Transcript Analysis & Process Optimization

Review and analyze recorded call transcripts to extract actionable insights, identify denial trends, systemic issues, and patterns impacting claim outcomes.

Synthesize findings into comprehensive reports and present recommendations for process enhancements, contributing to the continuous improvement of billing and collection workflows.

Collaborate closely with internal teams and client representatives to implement agreed process changes and measure their effectiveness.

Mentorship & Knowledge Sharing

Provide guidance and support to junior team members in best practices for calling, data labeling, and analysis.

Contribute to the development of internal training materials and knowledge bases.

Minimum of 2 years of experience in medical billing, insurance claims, or a related field.

Additional Information :

This is a full-time position, and the successful candidate will work closely with the clients team to support their AI-powered platform in improving medical billing operations. The role offers an opportunity for professional growth and development within a dynamic, technology-driven environment.