Medical Billing Specialist

🔥 0 minutes ago

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

TGH Senior Center Powered by Greenbrook Medical

WebsiteLinkedInAll Job Openings

2 - 10 employees

Founded 2024

🏥 Healthcare

⚕️ Healthcare Insurance

👥 B2C

Healthcare • Healthcare Insurance • B2C

TGH Senior Center Powered by Greenbrook Medical is a primary care group dedicated to adults 65 and over, launched in partnership with Tampa General Hospital and powered by Greenbrook Medical. The practice offers senior-focused, relationship-based primary care with longer visits, reduced wait times, and 24/7 access to the care team. It provides on-site services such as lab services, EKG and circulation testing, pulmonary function testing (PFT), joint injections, and skin biopsies. Common conditions treated include arthritis, diabetes, high blood pressure, high cholesterol, heart disease, and COPD. Locations include Brandon, Riverview, and Spring Hill, and the center accepts Medicare plans including UnitedHealthcare MA.

📋 Description

• Convert clinical encounter data into clean, compliant claims • Submit claims to payers accurately and on schedule • Investigate and resolve denials, rejections, and discrepancies • Trace billing problems to intake, coding, or submission and improve workflows • Work across eCW, Epic, Waystar, and AdvancedMD • Pull billing reports and queries • Audit billing workflows and recommend improvements • Partner with clinical and administrative teams to maintain clean data throughout the revenue cycle • Achieve 98%+ claim and encounter submission accuracy • Ensure timely resolution of denials and rejections • Maintain compliance with payer and regulatory requirements • Reduce billing errors over time • Collaborate with clinical and operations teams

🎯 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 such as Waystar or AdvancedMD • Understanding of HMO/PPO workflows and payer rules • Experience supporting physician billing in a primary care setting • Strong understanding of front-to-back revenue cycle workflows • Understanding of managed care and value-based billing nuances, including capitation models • Understanding of CPT II codes for Quality and HEDIS reporting • Analytical and detail-oriented approach • Ability to remain calm under high volume • Ownership mindset and proactive issue resolution • Alignment with the values of Heart, Excellence, Accountability, Resilience, and Teamwork • Must be located within the U.S.; preference for Eastern or Central time zones

🏖️ Benefits

• Generous annual performance bonus • Health, dental, and vision insurance • Paid time off • 401(k) with company match • Opportunities to grow skills and take on new challenges • Reasonable accommodations during the recruitment process