Billing Senior Associate

Role Summary

The Senior Billing Associate – Enterprise Accounts is responsible for executing and overseeing front-end billing operations for high-volume, multi-faceted enterprise clients. This role operates in a more complex environment requiring coordination across multiple systems, teams, and workflows. The Senior Associate serves as a key operational partner to Account Management, ensuring accurate billing execution, efficient workflow routing, and timely resolution of issues while maintaining strong alignment with client-specific requirements.

Responsibilities

• Manage full-cycle claim intake through charge release for high-volume, enterprise-level accounts
• Execute billing activities across multiple client and internal systems, ensuring data accuracy and consistency
• Coordinate closely with Account Managers, AR teams, and other stakeholders to align on priorities and account needs
• Support account setup and maintenance, including billing rules, workflows, and system configurations
• Own resolution of complex billing issues and escalations, including cross-system discrepancies
• Monitor workflow queues and ensure timely processing and proper routing of accounts
• Identify operational gaps across systems and workflows and recommend process improvements
• Partner with coding and other teams to resolve dependencies impacting billing accuracy or timeliness
• Assist with client-related requests and provide operational insights as needed
• Ensure adherence to SLAs, client requirements, and internal performance standards
• Provide guidance and support to Billing Associates working on enterprise accounts

Requirements

• 10+ years of medical billing or revenue cycle experience required
• Strong understanding of front-end billing workflows and charge release processes
• Experience working with high-volume or complex accounts
• Ability to navigate and manage work across multiple systems and platforms
• Strong problem-solving and analytical skills, particularly in cross-functional environments
• Excellent organizational and communication skills

Preferred Experience

• Experience supporting enterprise or multi-location clients
• Familiarity with multiple billing systems and/or EHR platforms (e.g., Epic)
• Prior experience working in a highly coordinated, cross-functional environment
• Experience mentoring or supporting junior team members

Benefits

Alteva RCM offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program.

About the Company

At Alteva RCM , we're dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. We're always looking for passionate, driven professionals who want to make a meaningful impact, grow their careers, and be part of a collaborative team committed to excellence.