Posted Jul 15, 2026 128 views
Solved Medcare is seeking a skilled Medical Biller to join our rapidly expanding Revenue Cycle Management (RCM) team. This role involves managing accounts receivable collections and denial resolution with a focus on surgery claims, requiring a strong understanding of U.S. healthcare billing and insurance follow-up processes. The ideal candidate will have 2 to 3 years of experience in medical billing and possess excellent communication and analytical abilities. You will be responsible for maximizing reimbursements by identifying denial root causes and resolving claim issues effectively. Additionally, this position requires managing a team of 30 professionals, coordinating efforts to optimize revenue cycles and improve collections.
As a Medical Biller at Solved Medcare, you will be instrumental in overseeing the end-to-end billing processes to enhance financial performance. Your role demands proactive management of billing disputes and denials, working closely with insurance providers and internal teams. You will analyze billing data, prepare documentation, and enforce best practices to ensure compliance and efficiency. Leadership skills will be essential in mentoring and guiding your team to achieve departmental goals and provide support in a dynamic healthcare environment.
Responsibilities
- Manage accounts receivable collections and denial resolution to improve cash flow and reduce outstanding balances.
- Supervise a team of 30 billing specialists, providing training, performance feedback, and support to enhance productivity.
- Identify root causes of claim denials and implement corrective actions to maximize reimbursement rates.
- Coordinate follow-up activities with insurance companies and healthcare providers to resolve billing disputes.
- Analyze revenue cycle reports and billing data to monitor trends, identify issues, and recommend improvements.
- Ensure compliance with healthcare billing regulations and guidelines across all managed claims.
- Collaborate with other departments to streamline the billing process and improve overall operational efficiency.
- Maintain accurate and organized records of billing activities, denials, and collections.
- Stay updated on changes in healthcare billing policies, insurance requirements, and industry standards.
- Provide exceptional communication with patients, insurance representatives, and internal stakeholders to clarify billing inquiries.
- Develop and implement standard operating procedures to optimize revenue cycle management within the team.
- Lead efforts to resolve complex billing issues and appeals in a timely manner.
- Support continuous improvement initiatives aimed at reducing denials and expediting payment collections.
- Train staff on identifying denial patterns and effective collection techniques to increase team competency.
- Monitor team workload and performance metrics to ensure goals are consistently met or exceeded.
Skills
Solved Medcare
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