Medical Billing & Administrative Operations Specialist
About The Position
The Medical Billing & Administrative Operations Specialist manages medical billing, claims submission, payment posting, payer follow-up, and revenue cycle support. During non-peak periods, the employee shifts to administrative projects, reporting, documentation management, process improvement initiatives, and operational support activities that contribute to organizational efficiency and readiness for future immunization seasons. The role requires medical billing expertise, strong organizational skills, attention to detail, and adaptability to seasonal priorities. From approximately September through December, the position focuses on immunization billing operations. From approximately January through August, the employee works on administrative projects that vary by scope and timeframe.
Requirements
- Expertise in medical billing.
- Strong organizational skills.
- Attention to detail.
- Ability to adapt between seasonal priorities.
Nice To Haves
- Experience with Azalea is preferred.
Responsibilities
- Submit vaccine claims accurately and promptly.
- Process Medicare, Medicaid, commercial, and managed care claims.
- Resolve claim denials and rejections.
- Follow up on unpaid claims and outstanding balances.
- Monitor accounts receivable aging reports.
- Post payments and reconcile remittance advice.
- Verify coding and billing accuracy.
- Track reimbursement trends and payer issues.
- Ensure compliance with payer and regulatory requirements.
- Meet established billing productivity and collection goals.
- Support administrative projects, reporting, documentation management, process improvement initiatives, and operational activities during non-peak periods.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
