Sr. Medical Biller

COMPANY OVERVIEW
At Harbor Health, we’re transforming healthcare in Austin through collaboration and innovation. We’re seeking passionate individuals to help us create a member-centered experience that connects comprehensive care with a modern payment model.

If you’re ready to make a meaningful impact in a dynamic environment where your contributions are valued, please bring your talents to our team!

POSITION OVERVIEW
The Senior Medical Biller is a key back-office contributor responsible for managing the full lifecycle of claims, including submission, edits, payment posting, and accounts receivable follow-up. This role ensures clean claims processing, supports payment reconciliation, and addresses complex billing issues to support timely and accurate reimbursement.

POSITION DUTIES & RESPONSIBILITIES

• Monitor and resolve claim holds and rejections; update and resubmit claims to ensure clean submission to payers.
• Post payments and adjustments using the remit tracking tool, ensuring alignment with Explanation of Benefits (EOBs).
• Conduct follow-up on outstanding accounts receivable (A/R) for both payer and patient balances, as assigned.
• Coordinate with front office staff on patient billing escalations when unresolved at the initial point of contact.
• Support appeals and corrections for underpaid or denied claims.
• Collaborate with other billing team members to maintain an efficient, compliant billing process.
• Maintain documentation of billing activity in accordance with organizational standards and payer guidelines.
• Other duties as assigned based upon company needs

DESIRED PROFESSIONAL SKILLS & EXPERIENCE

Key Skills and competencies:

• Experience: Minimum of 3 years of medical billing experience; multi-specialty billing is a plus.
• Technical Proficiency: Skilled in electronic medical record (EMR) systems, EOB interpretation, payment posting, and A/R management.
• Claims Knowledge: Familiarity with denial management and payer-specific appeal processes.
• Communication: Able to handle escalated patient inquiries with professionalism and clarity.
• Detail Orientation: Ensures data accuracy in claims and payments.
• Workflow Awareness: Understanding of practice operations and call center systems.

WHAT WE OFFER

• Opportunity to shape the financial foundation of an innovative healthcare model
• Collaborative and dynamic work environment
• An organization made of people who are passionate about changing the healthcare landscape
• Competitive salary and benefits package
• Professional development and growth opportunities
• A transparent and unique culture

At Harbor Health, we're transforming healthcare in Austin through collaboration and innovation. We're seeking passionate individuals to help us create a member-centered experience that connects comprehensive care with a modern payment model. If you're ready to make a meaningful impact in a dynamic environment where your contributions are valued, please bring your talents to our team!

Harbor Health is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law. We are committed to creating an inclusive environment for all clinicians and teammates and actively encourage applications from people of all backgrounds.