Job Description
Subject Matter Expert (SME) – Medical Biller | WFH | Nightshift
The Medical Billing SME is responsible for providing deep domain expertise across the end-to-end medical billing lifecycle, ensuring accurate, compliant, and efficient revenue cycle operations. The role acts as the go-to authority for complex billing scenarios, process optimization, and escalations, driving improvements in billing accuracy, denial reduction, and cash flow.
Key Responsibilities
End-to-End Revenue Cycle Ownership
• Oversee and support the entire billing lifecycle:
o Patient registration & insurance verification
o Charge capture & medical coding (ICD-10, CPT, HCPCS)
o Claims preparation, scrubbing, and submission
SME & Escalation Management
• Handle complex and escalated billing issues, including denied or rejected claims
• Perform root cause analysis of b...