Billing Senior Associate

Alteva RCM•New York, NY

2d•$65,000 - $85,000

About The Position

The Billing Senior Associate manages front-end billing for assigned complex, high-volume, or high-profile accounts while supporting efficient claim flow and team operations. The role works independently with minimal supervision and handles advanced account workflows, issue resolution, and payer- and client-specific billing requirements. As a senior team member, the Billing Senior Associate provides Billing Associates with guidance, informal training, escalation support, and process improvement recommendations. The position partners with Coding, Insurance Follow-Up, Client Services, and leadership to improve clean claim rates, reduce preventable errors, and support revenue cycle performance. Accurate, timely, and efficient claim billing helps optimize the revenue cycle, reduce rework, and strengthen the experience for clients and internal teams.

Requirements

High school diploma or equivalent.
At least 2 years of experience in physician collections, A/R follow-up, and denial management.
Advanced knowledge of CPT and ICD-10 coding, billing guidelines, and payer requirements.
Experience handling complex and escalated accounts and appeals.
Strong analytical skills, including the ability to interpret data, identify trends, and implement solutions.
Advanced proficiency in Microsoft Office applications, including Excel, Word, and Outlook.
Ability to multitask, prioritize workload, and meet deadlines in a fast-paced environment.
Strong communication and interpersonal skills, including the ability to support and guide team members.
Exceptional attention to detail and organizational skills.
Ability to work independently while contributing to a team-oriented environment.
Problem-solving skills and a proactive, solution-driven approach.

Nice To Haves

Associate's or bachelor's degree.
Experience with reporting and data analysis tools.
Prior experience serving as a team resource, mentor, or informal leader.

Responsibilities

Conduct claim intake for assigned new accounts.
Ensure claims are complete and required documentation is validated before requesting coding.
Route claims to coding teams and help ensure coding is completed in a timely manner.
Manage front-end billing for assigned complex or high-volume accounts, including claim intake, claim scrubbing, charge entry, and claim release.
Review accounts for missing, incomplete, or inconsistent information that could delay billing or affect reimbursement.
Ensure claims are billed accurately and within required turnaround times, following payer guidelines, client requirements, coding documentation, and internal standards.
Monitor billing queues and aging statuses daily to keep claims moving and prevent downstream accounts receivable issues.
Support account-specific SLA compliance and internal turnaround-time expectations.
Monitor monthly billing volume trends and escalate significant changes to the appropriate account team.
Provide workflow guidance, informal training, mentorship, and onboarding support to Billing Associates and new hires.
Contribute to process improvement efforts, including SOP updates, workflow optimization, testing tools, and identifying automation opportunities.
Resolve complex or escalated billing issues for assigned accounts.
Escalate unresolved, systemic, or recurring issues with clear documentation, supporting details, and recommended next steps.
Partner with claim intake, coding, and other support teams to resolve documentation or coding discrepancies affecting claim submission.
Recommend improvements to reduce errors, improve handoffs, strengthen claim quality, and increase operational efficiency.
Serve as a key contact for billing questions, account status updates, and client-facing issue resolution for assigned accounts.
Communicate clearly, professionally, and proactively with internal and external stakeholders about billing issues that could affect account health.
Collaborate with Coding, Insurance Follow-Up, Client Services, and leadership to address billing trends and improve claim outcomes.
Maintain or exceed charge-release timeliness targets for assigned accounts.
Achieve 98% billing accuracy and claim quality standards while minimizing rework, claim edits, and avoidable rejections.
Review claims more than 75 days from date of service daily and drive them toward resolution and claim release.
Resolve billing delays, claim holds, missing information, and workflow barriers within 24 hours whenever possible.
Review monthly billing trends for consistent claim volume and escalate significant changes.