Medical Billing Specialist | Denials & Process Optimizer

AAPC; Warwick (RI); On-site; USD 32,000 - 34,000; Full time

Job summary

AAPC in Warwick, RI is seeking an experienced Medical Billing Specialist to oversee the full billing cycle, resolve denied claims, and keep billing operations accurate and efficient for a growing company.

The role involves hands-on billing, processing client statements, and coordinating with IT to improve systems and workflows. Strong Excel/Office skills and a related degree or certificate are required.

Qualifications

• Hands‑on experience in computerized medical billing, medical accounts receivable and collections, or training and supervising billing staff.
• Associate's degree in a related field, a technical certificate in medical billing or financial software, or an equivalent combination of education and experience.
• Working knowledge of Microsoft Excel, Word, Access, and Outlook.

Responsibilities

• Review and resolve denied claims, pursue complex appeals, and research account issues through to resolution.
• Oversee client statements, flex bills, balance verifications, and account refund requests.
• Manage specialized billing, including per diem and specialty clinic programs.
• Serve as a resource for billing staff by answering questions, resolving logging and billing issues, and promoting best practices throughout the billing cycle.
• Partner with IT and leadership on system issues, process improvements, and interdepartmental workflows.

Skills

Medical Billing

Accounts Receivable

Education

Associate's degree or certificate in medical billing

Tools

Microsoft Excel

Microsoft Word

Microsoft Access

Microsoft Outlook

Job description

AAPC in Warwick, RI is seeking an experienced Medical Billing Specialist to oversee the full billing cycle, resolve denied claims, and keep billing operations accurate and efficient for a growing company.

The role involves hands-on billing, processing client statements, and coordinating with IT to improve systems and workflows. Strong Excel/Office skills and a related degree or certificate are required.