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Senior Medical Biller & A/R Specialist
- Movn Health (CA)
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Role Summary
Movn Health is seeking a highly experienced Senior Medical Biller & A/R Specialist to take full ownership of claims processing and accounts receivable recovery. This is a hands-on, senior-level role focused on accelerating cash flow, reducing outstanding balances, and ensuring accurate, compliant billing practices. The ideal candidate is a self-starter with a proven track record in A/R recovery, claim appeals, and payer follow-ups. Experience in startup environments and cardiovascular care is strongly preferred. Proficiency in top EMRs (Athenahealth, eCW, Tebra, etc) and QuickBooks, and a strong understanding of medical billing and payer systems is essential.
Functional Responsibilities
+ Submit clean claims via EHR to all payers within 24 hours of service
+ Review and process claim denials and rejections, executing timely appeals and follow-up strategies
+ Aggressively manage A/R aging—identify unpaid claims and pursue payer follow-ups until resolution
+ Generate and customer invoices via QuickBooks;
+ Handle any billing related inquiries from patients, payers, and external partners.
+ Follow up on patient responsibility balances
+ Track and reconcile all payments, EOBs, and remittances across EMR and QuickBooks
+ Identify trends in denials, underpayments, or payer delays, and escalate with recommendations for resolution
+ Ensure documentation and coding compliance with CMS and payer guidelines (ICD-10, CPT, HCPCS)
+ Produce weekly A/R performance reports and metrics to leadership
+ Collaborate with clinical and operations teams to resolve coding or documentation issues
+ Maintain accurate billing records and correspondence logs for audit-readiness
+ Support junior billing staff with training and escalation resolution when needed
Minimum Qualifications
+ 10+ years of hands-on experience in medical billing and A/R management
+ Deep knowledge of payer reimbursement methodologies and claims adjudication
+ Proficiency with multiple EHRs
+ Strong command of medical coding (ICD-10, CPT, HCPCS) and healthcare compliance (HIPAA, CMS)
+ Proven success in reducing A/R and managing appeals at scale
+ Excellent communication, analytical, and problem-solving skills
+ Certification in medical billing and coding (e.g., CPB, CPC) preferred
Preferred Qualifications
+ Proficiency with Athenahealth is a plus
+ Prior experience in cardiovascular care or digital health startups is a strong plus
About You
+ You are self-driven and motivated, able to take end-to-end ownership of any project you are assigned.
+ You have the tenacity to tackle big problems, experiment, and work until you figure out how to solve them.
+ You have demonstrated the ability to learn new technologies and systems to deliver whatever the business needs.
Benefits
+ Mission: This is a wonderful opportunity to be a critical part of Movn Health's mission, directly contributing to improving and saving lives for those who suffer from cardiac conditions.
+ Attractive compensation;
+ Paid sick leave.
+ Paid Holidays (prorated).
+ Remote Workplace
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