Lead Medical Billing Specialist

Posted: 03/13/2025

Position: Medical Billing Specialist

Location: Sheboygan, WI

Shift: Full Time, 40 hours per week
About the Position:

About Us:

Panacea Smart Solutions is a leading Revenue Cycle Management (RCM) company dedicated to providing innovative solutions that streamline and optimize healthcare revenue cycles. With a commitment to excellence and a team of skilled professionals, we empower healthcare providers to enhance financial performance while delivering high-quality patient care. We are seeking a dynamic and experienced RCM Associate in Accounts Receivable to join our team at our Sheboygan, WI office.

Position Overview:
We are seeking a skilled and experienced Medical Billing Specialist to join our team. The ideal candidate will possess exceptional problem-solving skills, adaptability, and a comprehensive understanding of medical billing. We are looking for a team member that has experience with the entire RCM process with a focus on payer AR and handling of Workman's Comp cases. This role is client facing and includes a good deal of interaction with clients, patients when necessary.

Key Responsibilities:

  • Manage and follow up on filed claims, including accounts receivable to ensure timely and accurate reimbursement from payers.
  • Analyze and resolve billing discrepancies and payment denials.
  • Process claims, adjustments, and appeals in compliance with insurance policies and regulations.
  • Generate and review AR aging reports to track and resolve outstanding balances.
  • Communicate effectively with insurance companies, patients, and internal departments to resolve payment issues.
  • Maintain accurate records and documentation of AR activities.
  • Collaborate with team members to implement best practices and improve AR processes.

Qualifications:

  • Experience: Minimum of 5+ years in medical billing accounts receivable.
  • Problem-Solving Skills: Demonstrated ability to reason and solve practical problems efficiently.
  • Adaptability: Ability to deal with a variety of concrete variables in situations where limited standardization exists.
  • Technical Skills: Proficiency in medical billing software, electronic health records (EHR), and Microsoft Office Suite.
  • Communication: Strong verbal and written communication skills.
  • Detail-Oriented: High level of accuracy and attention to detail in all work.
  • Spanish speaking a plus.

Why Join Us:

- Opportunity to lead and shape the revenue cycle operations of a forward-thinking RCM company.

- Collaborative and supportive work environment that values innovation and teamwork.

- Competitive salary and benefits package.

- Professional development opportunities to further enhance your skills and career.

- Located in the vibrant city of Sheboygan, WI, with its rich culture, scenic landscapes, and recreational activities.

If you are a dedicated and results-driven RCM professional with a passion for optimizing revenue cycle operations, we invite you to apply for the RCM Associate position with us at Panacea Smart Solutions. Join us in our mission to empower healthcare providers and make a positive impact on patient care and financial outcomes.

Panacea Smart Solutions is an equal opportunity employer. We encourage applications from candidates of all backgrounds and experiences.

Industry: Medical Services

Management Consulting

Job Type: Full-time

Pay: $38,000.00 - $60,000.00 per year

Benefits:

  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

Schedule:

  • Day shift

Experience:

  • Revenue cycle management: 3 years (Required)

Work Location: In person

Type of Position: Full Time Position

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