[Hiring] Senior Medical Billing Specialist @Winning Assistants

Role Description

We are seeking a highly experienced, detail-oriented, and results-driven Senior Medical Billing Specialist (Primary Care) to oversee medical billing operations, ensure accurate reimbursement, and lead a team of medical billing associates. This role combines advanced U.S. primary care medical billing expertise with hands-on team leadership, revenue cycle management, compliance oversight, and process improvement.

• Prepare, review, submit, and track medical claims for multiple U.S. primary care providers accurately and within payer filing deadlines.
• Apply advanced knowledge of ICD-10, CPT, HCPCS, and Evaluation & Management (E/M) billing concepts to identify billing errors, coding discrepancies, and documentation gaps.
• Review claims for accuracy, completeness, and compliance with payer-specific requirements.
• Investigate rejected, denied, pending, downcoded, or unpaid claims and oversee corrections, resubmissions, appeals, and follow-ups.
• Identify missed or unfiled claims, aging accounts, and outstanding billing backlogs.
• Prioritize time-sensitive claims and promptly escalate potential reimbursement risks.
• Maintain accurate records of submitted, pending, corrected, and resolved claims.
• Support consistent, timely reimbursement through proactive claims management and follow-up.

Qualifications

• At least 3 years of proven, hands-on U.S. medical billing experience.
• Extensive experience in U.S. primary care medical billing.
• Strong knowledge of primary care diagnoses, medical billing workflows, and reimbursement processes.
• Advanced working knowledge of ICD-10, CPT, HCPCS, and E/M billing guidelines.
• Proficiency with EHR/EMR systems, practice management software, and medical billing platforms.
• Excellent written and verbal English communication skills.

Requirements

• Must be proficient in speaking and writing clear, professional English.
• Must have at least 3 years of relevant U.S. medical billing experience, including extensive primary care billing experience.
• Must have previous experience leading or supervising a medical billing team.
• Must be able to submit an NBI Clearance and/or Local Police Clearance before onboarding.
• Must be available for video meetings with camera on when required.
• Must be available to work full-time, Monday through Friday, from 9:00 AM to 6:00 PM Eastern Time.

Benefits

• Access to world-class support for questions, guidance, contract matters, and client communication.
• Access to our internal HIPAA compliance training, cybersecurity modules, and certification.
• Access to our proprietary training on communication, client management, productivity systems, and best practices.
• Contractors may take U.S. holidays off according to the client’s needs and schedule.
• Time off may be granted by your client, with paid time off being optional and only if offered by the client.
• Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best.
• Optional performance-based incentives based on your performance.