Medical Billing & Administrative Operations Specialist

Medical Billing & Administrative Operations Specialist

Position Summary

The Medical Billing & Administrative Operations Specialist is responsible for managing all aspects of medical billing, claims submission, payment posting, payer follow-up, and revenue cycle support.

During non-peak periods, the employee transitions into administrative projects, reporting, documentation management, process improvement initiatives, and operational support activities that contribute to organizational efficiency and readiness for future immunization seasons.

This position requires expertise in medical billing, strong organizational skills, attention to detail, and the ability to adapt between seasonal priorities.

Primary Responsibilities:

*Peak Season: Immunization Billing *Operations (Approximately September through December)

*Billing & Revenue Cycle

• Submit vaccine claims accurately and timely.

• Process Medicare, Medicaid, commercial, and managed care claims.

• Resolve claim denials and rejections.

• Follow up on unpaid claims and outstanding balances.

• Monitor accounts receivable aging reports.

• Post payments and reconcile remittance advice.

• Verify coding and billing accuracy.

• Track reimbursement trends and payer issues.

• Ensure compliance with payer and regulatory requirements.

• Meet established billing productivity and collection goals.

*Non-Peak Season Responsibilities (Approximately January through August)

Administrative Projects vary upon scope and timeframes

Experience with Azalea prefered