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Implementation Billing Specialist
Triton Medical Solutions. Manage full-cycle medical billing for clients during implementation, including charge entry, claim submission, clearinghouse rejections, denial resolution, appeals, payer follow-up, payment posting, secondary billing, and accounts receivable management .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive expertise in full-cycle medical billing, including claim submission, payment posting, and accounts receivable management. Proficient in analyzing billing processes, resolving denials, and training clients on billing procedures and software workflows.
Highest-signal resume keywords
Medical Insurance Billing ExperienceClaims And Accounts Receivable ExpertiseEHR Or Practice Management Systems ProficiencyProblem-Solving And Analytical SkillsStrong Communication And Client Service Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Charge EntryClaim SubmissionDenial ResolutionPayment PostingSecondary BillingAging Reports MonitoringERA/EOB ReconciliationWorkflow DocumentationTraining DevelopmentRoot-Cause Investigation
Soft Skills
Excellent OrganizationFollow-ThroughIndependently Manage Multiple AccountsClient Service Skills
Tools & Technologies
ClearinghousesPayer PortalsSpreadsheetsTask-Tracking Software
Industry Keywords
HIPAA ComplianceCommercial InsuranceMedicareMedicaidManaged CareDME BillingTimely Filing Requirements
About the role
Key responsibilities & impact- Manage full-cycle medical billing for clients during implementation, including charge entry, claim submission, clearinghouse rejections, denial resolution, appeals, payer follow-up, payment posting, secondary billing, and accounts receivable management
- Review claim accuracy and billing readiness
- Investigate underpayments and unpaid claims
- Monitor aging reports and filing deadlines
- Reconcile ERA/EOB payments and identify recurring reimbursement issues
- Track implementation tasks, deadlines, outstanding issues, dependencies, and next steps across multiple clients
- Establish and document client-specific billing processes, checklists, and procedures
- Guide clients through billing procedures, software workflows, claim requirements, and supporting documentation
- Identify training needs and provide follow-up guidance
- Collaborate with the Implementation Manager, clients, billing operations, IT, and credentialing or contracting staff
- Provide designated backup coverage for routine client updates, implementation questions, scheduled training, and follow-up coordination
- Prepare complete billing handoffs to the ongoing billing team
- Maintain accurate implementation trackers and client records
- Handle confidential information in accordance with HIPAA requirements
Requirements
What you’ll need- At least five years of hands-on medical insurance billing experience
- Strong understanding of the full billing cycle from claim submission through payment posting and accounts receivable resolution
- Strong claims and accounts receivable expertise, including rejections, denials, appeals, payer follow-up, ERA/EOB reconciliation, secondary billing, underpayments, aging reports, and timely filing requirements
- Knowledge of medical insurance billing requirements, particularly commercial insurance and Medicare
- Ability to research payer requirements and learn applicable Medicaid, managed care, and Medicare DME billing requirements
- Excellent organization and follow-through, with ability to independently manage multiple client accounts and competing deadlines
- Problem-solving and analytical skills, including root-cause investigation, denial trend recognition, corrective action recommendations, and escalation of complex issues
- Experience documenting and improving workflows, developing procedures, identifying implementation gaps, and training clients or staff
- Strong communication and client service skills
- Proficiency with EHR or practice management systems, clearinghouses, payer portals, spreadsheets, and task-tracking software
- Ability to learn new platforms
- Legally authorized to work in the US
- Must be at least 18 years of age
Benefits
Comp & perks- Health insurance
- Paid time off
- Vision insurance
- Dental insurance