Job Description
We are seeking a meticulous Billing Specialist to join our finance team in Los Angeles. This critical role ensures accurate revenue cycle management through precise coding, claims submission, and compliance with healthcare regulations. Join our innovative healthcare organization where your expertise directly impacts patient care and operational excellence.
Responsibilities
- Process and submit insurance claims with 95%+ accuracy
- Resolve billing discrepancies and denials within SLAs
- Perform account receivable reconciliation monthly
- Ensure HIPAA and CMS compliance in all billing processes
- Collaborate with clinical teams to document chargeable services
- Analyze aging reports and implement collection strategies
- Train staff on billing system updates and best practices
Qualifications
- 3+ years of medical billing experience in a clinical setting
- Certified Professional Biller (CPB) or CPC credential required
- Expertise in CPT/HCPCS coding and ICD-10 diagnosis codes
- Advanced proficiency in Epic or similar EHR billing modules
- Strong analytical skills with attention to detail
- Experience with electronic claim submission (Availity, etc.)
- Bachelor's degree in Healthcare Administration or Finance preferred