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Medical Billing Specialist
TGH Senior Center Powered by Greenbrook MedicalMedical Billing Specialist converting clinical encounter data into accurate claims for Greenbrook Medical’s senior primary-care clinics. Resolving denials and improving revenue-cycle workflows across eCW, Epic, Waystar, and AdvancedMD.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical billing processes, including encounter data management, claims submission, and revenue cycle workflows. Proficient in using eCW, Epic, and clearinghouse systems to ensure compliance and accuracy in billing operations.
Highest-signal resume keywords
Medical Billing ExperienceECW ProficiencyEpic ProficiencyClaims Workflow ManagementRevenue Cycle Expertise
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims SubmissionEncounter Data ManagementCPT II Code UnderstandingHMO/PPO Workflow KnowledgeAnalytical Skills
Soft Skills
Detail-OrientedProactive Issue ResolutionCalm Under PressureTeam CollaborationOwnership Mindset
Tools & Technologies
WaystarAdvancedMDBilling ReportsECWEpic
Industry Keywords
Managed CareValue-Based BillingRevenue CyclePayer ComplianceQuality Reporting
About the role
Key responsibilities & impact- Convert clinical encounter data into clean, compliant claims
- Submit claims to payers accurately and on schedule
- Investigate and resolve denials, rejections, and discrepancies
- Trace billing problems to intake, coding, or submission and improve workflows
- Work across eCW, Epic, Waystar, and AdvancedMD
- Pull billing reports and queries
- Audit billing workflows and recommend improvements
- Partner with clinical and administrative teams to maintain clean data throughout the revenue cycle
- Achieve 98%+ claim and encounter submission accuracy
- Ensure timely resolution of denials and rejections
- Maintain compliance with payer and regulatory requirements
- Reduce billing errors over time
- Collaborate with clinical and operations teams
Requirements
What you’ll need- 5+ years of medical billing experience in primary care or managed care settings
- Strong experience with encounter data and claims workflows
- Hands-on knowledge of eCW and Epic or similar systems
- Experience using clearinghouses such as Waystar or AdvancedMD
- Understanding of HMO/PPO workflows and payer rules
- Experience supporting physician billing in a primary care setting
- Strong understanding of front-to-back revenue cycle workflows
- Understanding of managed care and value-based billing nuances, including capitation models
- Understanding of CPT II codes for Quality and HEDIS reporting
- Analytical and detail-oriented approach
- Ability to remain calm under high volume
- Ownership mindset and proactive issue resolution
- Alignment with the values of Heart, Excellence, Accountability, Resilience, and Teamwork
- Must be located within the U.S.; preference for Eastern or Central time zones
Benefits
Comp & perks- Generous annual performance bonus
- Health, dental, and vision insurance
- Paid time off
- 401(k) with company match
- Opportunities to grow skills and take on new challenges
- Reasonable accommodations during the recruitment process