Sr. Physician Billing Associate- Hybrid

Position summary

With limited supervision the Sr. Physician Billing Associate is responsible for the timely and accurate submission of physician billing charges and claims, with a strong focus on Epic physician billing and cardiology experience. Investigates and resolves complex billing issues, claim edits, denials, and outstanding balances, including cardiology-related denials. Ensures assigned work is completed accurately and within required timeframes while following payer regulations and department procedures.

Key responsibilities

• Review and verify patient demographic and insurance information using available systems, payer websites, and phone contact.

• Investigate and resolve charge edits, claim edits, denials, and appeals in collaboration with management and team members.

• Prepare and submit accurate insurance claims and appeals within required timeframes.

• Follow up on outstanding charges and claims to resolve balances.

• Accept, reject, and reconcile claim runs and process payer response reports.

• Review and process guarantor overpayments according to department policies.

• Respond to billing inquiries from patients, guarantors, insurance carriers, and internal departments.

• Assist with training new staff on processes and system navigation.

Minimum qualifications

Education: High school diploma or GED.

Experience: At least 2 years of experience in multispecialty physician billing or equivalent medical billing experience.

Schedule: Hybrid. in office once a week: Westwood location