Subject Matter Expert (SME) – Medical Biller | WFH | Nightshift

Subject Matter Expert (SME) – Medical Biller | WFH | Nightshift

The Medical Billing SME is responsible for providing deep domain expertise across the end-to-end medical billing lifecycle, ensuring accurate, compliant, and efficient revenue cycle operations. The role acts as the go-to authority for complex billing scenarios, process optimization, and escalations, driving improvements in billing accuracy, denial reduction, and cash flow.

Key Responsibilities

End-to-End Revenue Cycle Ownership

• Oversee and support the entire billing lifecycle:

o Patient registration & insurance verification

o Charge capture & medical coding (ICD-10, CPT, HCPCS)

o Claims preparation, scrubbing, and submission

SME & Escalation Management

• Handle complex and escalated billing issues, including denied or rejected claims

• Perform root cause analysis of b...