Implementation Billing Specialist

Triton Medical Solutions

23d•Remote

About The Position

Triton Medical Solutions is a medical billing and revenue cycle management company based in Tempe, Arizona, supporting practices nationwide in areas including dental, orofacial pain, TMJ, dental sleep medicine, and CBCT radiology. The company is seeking an experienced Implementation Billing Specialist to lead day-to-day medical billing for new clients during onboarding. This hands-on role combines full-cycle medical insurance billing with client implementation, workflow development, training, and coordination across internal teams. The specialist manages claims from submission through payment and resolution, addresses denials and outstanding accounts receivable, identifies billing issues, and establishes accurate, efficient client-specific workflows. The role also involves tracking implementation tasks and deadlines, guiding clients through billing procedures and software, and coordinating with the Implementation Manager and other departments to keep onboarding on schedule. As clients move into ongoing billing operations, the specialist documents workflows, communicates open claims and follow-up needs, and supports a smooth handoff. Following appropriate training, the specialist provides designated backup for routine client questions, training, and implementation follow-up. AdvancedMD is the recommended platform for most new clients, though some clients retain their existing EHR or practice management software. This is a remote position. The ideal candidate is an experienced medical biller who takes ownership, works independently, stays organized across multiple clients, communicates clearly, and follows issues through to resolution.

Requirements

At least five years of hands-on medical insurance billing experience, with a strong understanding of the full billing cycle from claim submission through payment posting and accounts receivable resolution.
Strong claims and accounts receivable expertise, including rejections, denials, appeals, payer follow-up, ERA/EOB reconciliation, secondary billing, underpayments, aging reports, and timely filing requirements.
Knowledge of medical insurance billing requirements, particularly commercial insurance and Medicare.
Ability to research payer requirements and learn applicable Medicaid, managed care, and Medicare DME billing requirements.
Excellent organization and follow-through, including the ability to independently manage multiple client accounts, prioritize competing deadlines, maintain accurate task trackers, and resolve issues without repeated reminders.
Problem-solving and analytical skills, including investigating billing issues, identifying root causes and denial trends, recommending corrective actions, and escalating complex issues with a proposed next step.
Experience documenting and improving workflows, developing procedures, identifying implementation gaps, and training clients or staff on billing processes and software.
Strong communication and client service skills, including explaining billing requirements clearly, coordinating with multiple teams, documenting decisions, and keeping clients and coworkers informed.
Proficiency with billing systems and tools, including EHR or practice management systems, clearinghouses, payer portals, spreadsheets, and task-tracking software, and the ability to learn new platforms.

Responsibilities

Manage full-cycle medical billing during implementation, including charge entry, claim submission, clearinghouse rejections, denial resolution, appeals, payer follow-up, payment posting, secondary billing, and accounts receivable management.
Review claim accuracy and billing readiness; investigate underpayments and unpaid claims; monitor aging reports and filing deadlines; reconcile ERA/EOB payments; and identify recurring reimbursement issues.
Track implementation tasks, deadlines, outstanding issues, dependencies, and next steps across multiple clients, and communicate potential delays or barriers promptly.
Establish and document client-specific billing workflows, checklists, and procedures to support accurate, consistent billing and transition to ongoing operations.
Guide clients through billing procedures, software workflows, claim requirements, and supporting documentation; identify training needs and provide follow-up guidance.
Coordinate with the Implementation Manager, clients, billing operations, IT, and credentialing or contracting staff to resolve issues and move implementation activities forward.
Following appropriate training, provide backup for routine client updates, implementation questions, scheduled training, and follow-up coordination.
Prepare billing handoffs covering open claims, accounts receivable status, denial and appeal deadlines, payer concerns, documented workflows, and unresolved tasks.
Maintain current implementation trackers and client records, follow through on commitments, and handle confidential information in accordance with HIPAA requirements.