Job Description
Join MediCorp Solutions, a leading healthcare provider, as our Billing Specialist in Philadelphia! We're seeking a detail-oriented professional to manage revenue cycle operations and ensure accurate reimbursement. Enjoy competitive pay, comprehensive benefits, and a collaborative environment. If you thrive in fast-paced healthcare settings and excel at financial precision, apply today!
Responsibilities
- Process insurance claims and manage A/R follow-up for 200+ daily transactions
- Verify patient eligibility and benefits using Epic EMR systems
- Resolve billing discrepancies through HIPAA-compliant communications
- Analyze denial patterns and implement process improvements
- Reconcile accounts and prepare monthly financial reports
- Train staff on billing compliance protocols
- Collaborate with coding teams for CPT/ICD-10 accuracy
Qualifications
- 3+ years medical billing experience with commercial insurance
- Proficiency in Epic Resolute and NextGen billing platforms
- Certified Professional Biller (CPB) credential preferred
- Expert knowledge of CMS-1500 and UB-04 forms
- Strong analytical skills with 99.5% claim accuracy
- Ability to manage 50+ accounts daily with SLA adherence
- Familiarity with Pennsylvania Medicaid guidelines