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Job Title: Senior Medical Billing Specialist
Location: Remote
Time Zone: US Time Zones (EST–PST)

Position Summary The Senior Medical Billing & Denial Management Specialist is a critical contributor to Rooted Life's Revenue Cycle Management (RCM) operations. This role ensures accurate, timely claims submission and takes primary ownership of resolving billing denials, rejections, and clearinghouse errors. Working hands-on with payers, the clearinghouse, and the Ritten.io EHR, this position validates clinical documentation, corrects claim issues, and secures reimbursement. Exceptional attention to detail, strong follow-through, and a proactive approach are essential to move claims through the full billing cycle efficiently and compliantly.
Key Responsibilities
Claims Submission & Daily Billing Operations
- Prepare and submit clean claims on a continual basis for all service lines (ECM, Community Supports, Housing Navigation, etc.), ensuring timely submission.




- Validate all claims against clinical documentation in Ritten.io, including encounter notes, service timelines, eligibility, and required fields.
- Monitor daily clearinghouse reports for rejections and errors; correct and resubmit promptly.
- Maintain claims submission schedules to meet payer deadlines and internal billing cycles.

Denials, Rejections & Payer Resolution (Primary Responsibility)
- Take full ownership of denials, rejections, and unpaid claims—ensuring root-cause resolution and successful resubmission.
- Contact payers directly to resolve issues related to authorizations, eligibility, coding, coordination of benefits, missing documentation, and system errors.
- Work with the clearinghouse to identify transmission issues, file format errors, and claim routing problems.
- Document all denial reasons, corrective actions, and payer communications in internal trackers.
- Analyze denial trends and escalate sy

📌 Senior Medical Billing Specialist (Monterrey)
🏢 Hire Hangar
📍 Monterrey