Billing Senior Associate

About Us

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.

Position 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.

Key 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

Qualifications

• 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

Pay Range

$70,000—$85,000 USD

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.