Senior Medical Billing Specialist – Workers’ Compensation
About the Role
We are looking for an experienced Senior Medical Billing Specialist with strong expertise in U.S. medical billing, Workers’ Compensation claims, and Revenue Cycle Management (RCM).
In this role, you will be responsible for managing the medical billing lifecycle, handling Workers’ Compensation claims, resolving denials and billing issues, and following up on outstanding accounts receivable. The ideal candidate should be comfortable working with insurance carriers, navigating multiple billing/EMR systems, and managing claims with a high level of accuracy and attention to detail.
Key Responsibilities
Manage the end-to-end medical billing lifecycle, from claim submission through payment and A/R resolution.
Process and follow up on Workers’ Compensation claims with insurance carriers.
Submit, review, and correct claims to ensure accurate and timely reimbursement.
Handle claim denials, rejections, appeals, and resubmissions.
Perform regular A/R follow-up on unpaid, underpaid, and outstanding claims.
Communicate with insurance carriers, adjusters, and other relevant parties regarding claim status and payment issues.
Investigate and resolve billing discrepancies, claim errors, and payment-related issues.
Verify claim information and ensure billing documentation is complete and accurate.
Maintain detailed and up-to-date records of claims, follow-ups, denials, appeals, and resolutions.
Work across multiple EMR/EHR and medical billing platforms.
Identify recurring billing issues and contribute to revenue cycle improvement initiatives.
Maintain compliance with applicable billing procedures, payer requirements, and documentation standards.
Required Skills & Experience
Extensive experience in U.S. medical billing and Revenue Cycle Management (RCM).
Strong hands-on experience with Workers’ Compensation billing and claims processing.
Proven experience managing claims, denials, appeals, rejections, and A/R follow-up.
Experience communicating with insurance carriers and claims representatives/adjusters.
Familiarity with multiple EMR/EHR and medical billing platforms.
Experience reviewing claims for accuracy and resolving billing discrepancies.
Strong understanding of the U.S. healthcare billing and reimbursement process.
Experience with platforms such as Greenway Intergy is preferred.
What You’ll Need to Succeed
Strong knowledge of the U.S. medical billing and Workers’ Compensation claims lifecycle.
Ability to independently manage multiple claims, follow-ups, and billing priorities.
Strong problem-solving and analytical skills when investigating denials and payment issues.
Ability to work accurately in a high-volume, deadline-driven environment.
Ability to quickly learn and adapt to new billing, EMR/EHR, and payer systems with minimal training.
Strong follow-up skills and persistence in resolving outstanding claims and A/R.
A proactive approach to identifying billing issues and improving RCM performance.