Job description
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
