Medical Billing Specialist

Addison Group

Centennial (CO)

On-site

USD 60,000 - 80,000

Full time

38 hours ago
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Job summary

Addison Group is hiring a Medical Billing & Revenue Cycle Specialist for a growing specialty physician practice in Centennial, CO. The role covers full-cycle medical billing, including claim submission, insurance follow-up, denials, collections, and posting payments.

The ideal candidate will understand payer guidelines, CPT codes, modifiers, and reimbursement processes. We seek an experienced professional who owns accounts, investigates issues thoroughly, and resolves claims efficiently.

Qualifications

  • 2–3+ years of full-cycle medical billing or Revenue Cycle experience.
  • Experience in dermatology or specialty physician practice billing preferred.
  • Strong knowledge of CPT codes, modifiers, and payer guidelines.
  • Experience with high-volume billing and collections workloads.
  • Analytical and problem-solving skills; strong organizational skills.

Responsibilities

  • Process and submit medical claims and perform insurance AR follow-up.
  • Review denials, investigate issues, and resolve complex claims.
  • Post insurance and patient payments accurately and reconcile accounts.
  • Identify trends and contribute to process improvements in revenue cycle.
  • Collaborate with team to maintain productivity and quality standards.

Tools

ModMed (Modernizing Medicine)
Google Workspace
Apple devices

Job description

Medical Billing & Collections SpecialistAddison Group is hiring for our client, a growing specialty physician practice in Centennial, CO, seeking an experienced Medical Billing & Revenue Cycle Specialist to join its team.This position is responsible for full-cycle medical billing, including claim submission, insurance follow-up, denial resolution, collections, and payment posting.The ideal candidate has a strong understanding of physician billing, payer guidelines, modifiers, and reimbursement processes. We are looking for someone who takes ownership of their accounts, investigates issues thoroughly, and focuses on resolving claims correctly the first time.

Key Responsibilities
  • Process and submit approximately 100 medical claims per day
  • Review payer correspondence, rejected claims, and denials
  • Research and resolve approximately 50 denied or outstanding claims daily
  • Perform detailed insurance AR follow-up and collections
  • Review coding, modifiers, and payer requirements to identify billing issues
  • Investigate underpayments, denials, and reimbursement discrepancies
  • Manage patient collections and account balances as needed
  • Post insurance and patient payments accurately
  • Work claims through final resolution and account closure
  • Identify recurring denial trends and recommend process improvements
  • Maintain accurate documentation and meet productivity and quality standards
  • Collaborate with team members to improve Revenue Cycle performance
Qualifications

2–3+ years of full-cycle medical billing or Revenue Cycle experienceExperience in dermatology or specialty physician practice billing strongly preferredStrong knowledge of insurance billing, AR follow-up, and denial managementUnderstanding of CPT codes, modifiers, and payer guidelinesExperience researching and resolving complex claim issuesComfortable managing high-volume billing and collections workloadsStrong technical skills and ability to learn new systems quicklyExperience with ModMed (Modernizing Medicine) preferredFamiliarity with Apple products and Google Workspace preferredStrong analytical, organizational, and problem-solving skills

Addison Group is an Equal Opportunity Employer.

Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws.

Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities.

Reasonable accommodation is available for qualified individuals with disabilities, upon request.

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