Job Description
Join our dynamic finance team at Metropolitan Healthcare Partners, a leading healthcare provider in Philadelphia. We're seeking a meticulous Billing Specialist to optimize our revenue cycle management. In this critical role, you'll ensure accurate claim submissions, resolve billing discrepancies, and maintain compliance with healthcare regulations. Enjoy competitive pay, comprehensive benefits, and a collaborative work environment in the heart of Philly.
Responsibilities
- Process and submit insurance claims with 95%+ accuracy
- Reconcile accounts receivable daily and resolve outstanding balances
- Verify patient eligibility and benefits for all services
- Generate monthly billing reports for departmental review
- Collaborate with clinical staff to ensure charge capture completeness
- Adhere strictly to HIPAA and CMS billing regulations
Qualifications
- 3+ years of medical billing experience required
- Proficiency in Epic or NextGen EHR systems
- Certified Professional Biller (CPB) certification preferred
- Expert knowledge of CPT/ICD-10 coding guidelines
- Exceptional attention to detail and analytical skills
- Strong problem-solving abilities for claim denials
- Experience with electronic claim submission via Clearinghouses