MedBridge Healthcare LLC

Billing Specialist

• Manage and maintain provider schedules and virtual appointment templates.
• Monitor and update internal systems, documentation, and digital workflows to ensure operational accuracy.
• Coordinate onboarding logistics for new staff, including system access, credentialing documentation collection, and internal setup tasks.
• Track and follow up on administrative deadlines, credentialing timelines, vendor tasks, and recurring operational processes.
• Ensure all incoming work is processed within specified SLAs and follows Sanusom’s workflow including entry into all shared trackers in Teams, EHR, Sanusom Portal, CallShaper, etc.
• Perform insurance eligibility checks and verify patient coverage using payer portals or clearinghouses.
• Accurately input and update patient insurance and demographic information in the shared trackers, EHR, Sanusom Portal, etc.
• Prepare daily/weekly/monthly billing batches and ensure accurate coding and charge capture data is passed to billing partners or internal billers.
• Assist in monitoring denied claims or rejections by coordinating with billing vendors or RCM teams for follow-up.
• Maintain payer records and documentation needed for audits or payer communication.
• Manage user permissions and internal system configurations across clinic tools (EHR, scheduling, telehealth platforms, etc.).
• Support platform troubleshooting and coordinate with internal/external tech support for escalations.
• Document internal SOPs and operational protocols; ensure consistency across workflows.
• Act as an internal point of contact for operational questions from clinical or administrative staff.
• Support preparation for internal team meetings, generate reports, and track action items or KPIs as assigned.
• Coordinate recurring administrative functions (e.g., provider onboarding trackers, insurance renewals, system audits).

Bilingual

• Answer a high volume of incoming calls throughout the day
• Schedule patient appointments and manage intake information
• Collect and verify patient demographic and insurance details
• Accurately enter data into the Electronic Medical Records system
• Respond to patient questions regarding appointments and accounts
• Screen calls and take detailed messages when needed
• Filing and clerical duties assigned by the office team
• Communicate with referral sources to obtain additional information or provide updates
• Support the team with additional administrative duties as assigned

Bilingual Patient Service Representative

• Own the full revenue cycle from intake to payment
• Monitor claims, A/R, and reimbursement performance
• Ensure accurate coding for sleep studies and related services
• Manage insurance claims, denials, and prior authorizations
• Lead and develop billing staff
• Maintain compliance with HIPAA and billing regulations
• Track key metrics and drive process improvements

Billing Specialist

Bilingual Patient Service Representative

Billing Manager