Job Description
Join our dynamic finance team at Southwest Healthcare Solutions, a leading provider of innovative medical billing solutions. We're seeking a detail-oriented Billing Specialist to optimize revenue cycles and ensure compliance with healthcare regulations. Enjoy competitive compensation, comprehensive benefits, and a collaborative work environment in Albuquerque's thriving healthcare sector.
Responsibilities
- Process and submit accurate insurance claims to maximize reimbursement
- Manage accounts receivable and resolve billing discrepancies
- Verify patient eligibility and benefits information
- Conduct regular audits to ensure compliance with HIPAA and CMS guidelines
- Collaborate with clinical teams to document chargeable services
- Generate monthly reports on key billing metrics
- Train staff on billing system updates and best practices
Qualifications
- 3+ years of medical billing experience in healthcare settings
- Proficiency in Epic, NextGen, or similar EHR systems
- Certified Professional Biller (CPB) credential preferred
- Expert knowledge of CPT, ICD-10, and HCPCS coding
- Strong analytical skills with attention to detail
- Experience with Medicaid/Medicare and private payer regulations
- Associate degree in healthcare administration or related field