Job Description
Join our award-winning healthcare provider as a Billing Specialist and become the financial backbone of our patient care operations. We're seeking a detail-oriented professional to ensure seamless revenue cycle management while maintaining compliance with HIPAA and billing regulations. This hybrid role offers competitive benefits, professional development opportunities, and a collaborative environment where your expertise directly impacts our community's health outcomes.
Responsibilities
- Process and verify insurance claims with 95%+ accuracy across multiple payers
- Manage accounts receivable through aging reports and strategic follow-up protocols
- Resolve billing discrepancies and patient inquiries within 24-hour SLA
- Conduct monthly audits of billing codes and documentation compliance
- Collaborate with clinical teams to ensure accurate charge capture
- Implement process improvements to reduce claim denials by 15% quarterly
- Train staff on new billing procedures and regulatory updates
Qualifications
- 3+ years of medical billing experience with CPT/ICD-10 codes
- Proficiency in Epic or NextGen EMR systems
- Certified Professional Biller (CPB) or CPC certification preferred
- Advanced knowledge of Medicare/Medicaid and commercial payer policies
- Exceptional analytical skills with attention to detail
- Strong communication abilities for patient and provider interactions
- Experience with denial management and appeals processes
- Ability to maintain HIPAA compliance in all documentation