Implementation Billing Specialist

🔥 2 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

📊 Billing Specialist

👻 Ghost score 12%

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Triton Medical Solutions

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2011

🏥 Healthcare

💼 Consulting

🛡️ Insurance

Healthcare • Consulting • Insurance

Triton Medical Solutions is a Tempe-based medical billing and practice management firm that specializes in medical and dental billing, revenue cycle management, insurance and Medicare contracting, and practice management consulting. The company offers end-to-end billing services — from claim submission and denial management to payment posting and transparent reporting — along with software for full practice management, EHR integration, verification of benefits, prior authorizations, and call center solutions. Triton serves physician and dental practices with customized B2B solutions aimed at increasing revenue, reducing denials, and streamlining administrative workflows while maintaining HIPAA compliance.

📋 Description

• Manage full-cycle medical billing for clients during implementation, including charge entry, claim submission, clearinghouse rejections, denial resolution, appeals, payer follow-up, payment posting, secondary billing, and accounts receivable management • Review claim accuracy and billing readiness • Investigate underpayments and unpaid claims • Monitor aging reports and filing deadlines • Reconcile ERA/EOB payments and identify recurring reimbursement issues • Track implementation tasks, deadlines, outstanding issues, dependencies, and next steps across multiple clients • Establish and document client-specific billing processes, checklists, and procedures • Guide clients through billing procedures, software workflows, claim requirements, and supporting documentation • Identify training needs and provide follow-up guidance • Collaborate with the Implementation Manager, clients, billing operations, IT, and credentialing or contracting staff • Provide designated backup coverage for routine client updates, implementation questions, scheduled training, and follow-up coordination • Prepare complete billing handoffs to the ongoing billing team • Maintain accurate implementation trackers and client records • Handle confidential information in accordance with HIPAA requirements

🎯 Requirements

• At least five years of hands-on medical insurance billing experience • Strong understanding of the full billing cycle from claim submission through payment posting and accounts receivable resolution • Strong claims and accounts receivable expertise, including rejections, denials, appeals, payer follow-up, ERA/EOB reconciliation, secondary billing, underpayments, aging reports, and timely filing requirements • Knowledge of medical insurance billing requirements, particularly commercial insurance and Medicare • Ability to research payer requirements and learn applicable Medicaid, managed care, and Medicare DME billing requirements • Excellent organization and follow-through, with ability to independently manage multiple client accounts and competing deadlines • Problem-solving and analytical skills, including root-cause investigation, denial trend recognition, corrective action recommendations, and escalation of complex issues • Experience documenting and improving workflows, developing procedures, identifying implementation gaps, and training clients or staff • Strong communication and client service skills • Proficiency with EHR or practice management systems, clearinghouses, payer portals, spreadsheets, and task-tracking software • Ability to learn new platforms • Legally authorized to work in the US • Must be at least 18 years of age

🏖️ Benefits

• Health insurance • Paid time off • Vision insurance • Dental insurance