Sr. Billing Specialist

The revenue cycle doesn't run on optimism — it runs on discipline, deep payer knowledge, and someone who leads from the front when accounts get complex, denials get ugly, and the team needs a higher standard to rise toward. As the Senior Billing Specialist at Rebis Health, you own the hardest problems in our A/R, run our biweekly collections placement process, set the bar for team quality through hands-on QA and coaching, and build the systems that make everyone around you more effective.

Rebis is a multidisciplinary sleep wellness center dedicated to transforming sleep health and restoring overall wellness.

Our name represents the sacred union of healing disciplines, bringing together diverse expertise into a unified system of care designed to help individuals heal and thrive.

Our mission is to restore and enhance individual healing by optimizing sleep health through a collaborative, compassionate, and highly coordinated approach.

Our vision is to become the nation’s leading multidisciplinary center for sleep wellness, setting a new standard for both care and experience.

At the heart of Rebis is a simple commitment:

Every person who interacts with us should feel Loved, Heard, and Safe.

We work in a culture grounded in integrity, service, and genuine curiosity — where the unglamorous work of billing and operations is understood as essential to the healing we provide. We move with purpose, take pride in precision, and believe that a well-run back office is how patients trust us with their care.

Why This Role Matters

When the toughest billing challenges arise, they land with you. Your expertise turns stalled accounts into recovered revenue, helping sustain the programs and care our patients depend on.

Beyond individual wins, you strengthen the entire team—building better processes, sharing knowledge, and raising performance across the board. You don’t just resolve complex accounts; you help others succeed with them.

Aged A/R managed at the highest level. You work assigned accounts at ≥2.0 touches per week, driving the 90+ day bucket down by ≥70% and the 120+ bucket by ≥50% — with a documented next step on every single touch. You're not the only person in the A/R, but you're the one who makes the hard calls on the hardest accounts and sets the standard for how aging gets managed across the team.

Complex denial throughput with near-zero rework. You handle the highest-complexity denial mix — major payer disputes, escalations, Medicare and managed care situations — and hold your 14-day rework rate below 12%. Every account gets an outcome documented: rebill, appeal, escalate, or close. Nothing floats.

Appeals that win, and a strategy that improves. ≥98% of your appeal packets go out within 3 business days of readiness. Packet quality meets Medicare audit standards. You track overturn rates quarterly by denial category and build that data back into your approach — not just fixing the most recent denial, but improving the win rate on the categories that matter most.

A payer portfolio that performs. Your assigned payer accounts hit net collection benchmarks. You maintain payer playbooks so the knowledge isn't siloed in your head — and when a preventable denial category starts trending up, you move to fix it at the source, not just document it.

High-dollar accounts under continuous management. Every account above the priority threshold is reviewed weekly and actioned. Escalations go out with full documentation within 2 business days. You build recovery plans for timely filing risk and recoupment exposure — nothing falls off because of a missed deadline.

Collections placed on time, every two weeks, without error. You review all eligible accounts against TSI and Phone Collections criteria on a biweekly cycle and submit qualifying placements with ≤2% exception rate. Athenahealth documentation is complete before placement: final notice posted, correct status flags, notes current, upcoming visits and active disputes confirmed clear. This is a trust-sensitive workflow — you run it completely and without being reminded.

Denial patterns fixed at the root. ≥2 formal root cause analyses per month on recurring denials, corrective actions routed to the owners responsible for the upstream failure, fix adoption verified within 10 business days. You don't just close denials — you systematically reduce the categories of denials that come back.

A billing team that performs better because of your QA. Biweekly QA audits on Level I and II work, documented coaching sessions, and a target of ≥90% audit pass rate after each coaching cycle. You set the standard — and then you actively help people reach it. You're not just the best biller in the room; you make the room better.

Payer issues escalated fast and followed to closure. ≥95% of payer issues go out with complete evidence within 5 business days. You maintain a follow-up cadence until each issue is resolved and give leadership trend visibility without waiting to be asked for a report.

What's essential:

You know the payer landscape cold — how each major carrier behaves on appeals, where the leverage points are in an escalation, which denial categories are strategic and which are errors. You're rigorous about documentation — not because it's a rule, but because a well-documented account is a recoverable account and an undocumented one disappears. You're a mentor by instinct: you share what you know, you audit work honestly, and you don't tolerate the same mistake twice without addressing the cause. You want to move metrics, not manage a queue.

3–5+ years of progressive medical billing experience, including complex denial management, A/R aging strategy, and appeals for Medicare, managed care, or commercial payers. Demonstrated success running a payer portfolio to net collection benchmarks. Strong Athenahealth experience — this is required, not preferred. Experience with collections placement (TSI or similar agencies). A history of coaching or QA-ing other billers, formally or informally.

What sets you apart:

Experience in Sleep Medicine, DME, neurology, pulmonology, or complex specialty outpatient billing; you've built payer playbooks or denial root cause programs from scratch; you track your own KPIs — A/R performance, appeal win rates, denial trends — and can walk through them in an interview without being asked to reconstruct them.

Department: Revenue Cycle
Reports To: Revenue Cycle Manager
Location: Rebis Longmont Location
Compensation: $31.00 - $36.00 per hour plus monthly bonus program

Benefits

• 401(k)

• Medical Insurance

• Dental Insurance

• Vision Insurance

• Unlimited PTO plus Paid Federal Holidays

• Complimentary Rebis Health Care Access to support your personal health

• Parental Leave

Hybrid Work Eligibility

Employees may be eligible for a hybrid work arrangement after demonstrating competency and trust, determined based on performance.

Rebis Health is an equal opportunity employer. We welcome candidates of all backgrounds, identities, and experiences.