Sr. Billing Specialist

Rebis Health•Longmont, CO

10d•Hybrid

About The Position

The revenue cycle doesn't run on optimism — it runs on discipline, deep payer knowledge, and someone who leads from the front when accounts get complex, denials get ugly, and the team needs a higher standard to rise toward. As the Senior Billing Specialist at Rebis Health, you own the hardest problems in our A/R, run our biweekly collections placement process, set the bar for team quality through hands-on QA and coaching, and build the systems that make everyone around you more effective. About Rebis Health Rebis is a multidisciplinary sleep wellness center dedicated to transforming sleep health and restoring overall wellness. Our name represents the sacred union of healing disciplines, bringing together diverse expertise into a unified system of care designed to help individuals heal and thrive. Our mission is to restore and enhance individual healing by optimizing sleep health through a collaborative, compassionate, and highly coordinated approach. Our vision is to become the nation’s leading multidisciplinary center for sleep wellness, setting a new standard for both care and experience. At the heart of Rebis is a simple commitment: Every person who interacts with us should feel Loved, Heard, and Safe. We work in a culture grounded in integrity, service, and genuine curiosity — where the unglamorous work of billing and operations is understood as essential to the healing we provide. We move with purpose, take pride in precision, and believe that a well-run back office is how patients trust us with their care. Why This Role Matters When the toughest billing challenges arise, they land with you. Your expertise turns stalled accounts into recovered revenue, helping sustain the programs and care our patients depend on. Beyond individual wins, you strengthen the entire team—building better processes, sharing knowledge, and raising performance across the board. You don’t just resolve complex accounts; you help others succeed with them.

Requirements

3–5+ years of progressive medical billing experience, including complex denial management, A/R aging strategy, and appeals for Medicare, managed care, or commercial payers.
Demonstrated success running a payer portfolio to net collection benchmarks.
Strong Athenahealth experience.
Experience with collections placement (TSI or similar agencies).
A history of coaching or QA-ing other billers, formally or informally.
Knowledge of the payer landscape cold — how each major carrier behaves on appeals, where the leverage points are in an escalation, which denial categories are strategic and which are errors.
Rigorous about documentation.
Ability to mentor and share knowledge.
Ability to audit work honestly.
Desire to move metrics, not manage a queue.

Nice To Haves

Experience in Sleep Medicine, DME, neurology, pulmonology, or complex specialty outpatient billing.
Experience building payer playbooks or denial root cause programs from scratch.
Ability to track personal KPIs — A/R performance, appeal win rates, denial trends — and discuss them in an interview.

Responsibilities

Manage assigned accounts at ≥2.0 touches per week, driving the 90+ day bucket down by ≥70% and the 120+ bucket by ≥50% — with a documented next step on every single touch.
Handle the highest-complexity denial mix — major payer disputes, escalations, Medicare and managed care situations — and hold your 14-day rework rate below 12%.
Ensure every account gets an outcome documented: rebill, appeal, escalate, or close.
Submit appeal packets within 3 business days of readiness.
Track overturn rates quarterly by denial category and build that data back into your approach.
Maintain assigned payer accounts to hit net collection benchmarks.
Maintain payer playbooks so the knowledge isn't siloed.
Review every account above the priority threshold weekly and action.
Send escalations with full documentation within 2 business days.
Build recovery plans for timely filing risk and recoupment exposure.
Review all eligible accounts against TSI and Phone Collections criteria on a biweekly cycle and submit qualifying placements with ≤2% exception rate.
Ensure Athenahealth documentation is complete before placement: final notice posted, correct status flags, notes current, upcoming visits and active disputes confirmed clear.
Perform ≥2 formal root cause analyses per month on recurring denials, route corrective actions to the owners responsible for the upstream failure, and verify fix adoption within 10 business days.
Conduct biweekly QA audits on Level I and II work, conduct documented coaching sessions, and aim for ≥90% audit pass rate after each coaching cycle.
Escalate ≥95% of payer issues with complete evidence within 5 business days.
Maintain a follow-up cadence until each issue is resolved and give leadership trend visibility.