Senior Medical Biller & A/R Specialist at Movn Health

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