Job Description
Join our dynamic finance team at Apex Healthcare Solutions, where precision meets innovation. We're seeking a meticulous Billing Specialist to optimize revenue cycle operations in our Austin headquarters. This role is pivotal in ensuring accurate reimbursement while maintaining compliance with healthcare regulations. Enjoy a collaborative environment with growth opportunities and competitive benefits.
Responsibilities
- Process complex medical claims with 99.7% accuracy across multiple insurance carriers
- Reconcile accounts receivable and resolve billing discrepancies within 48 hours
- Conduct insurance verification and pre-authorizations for elective procedures
- Generate monthly reports on denial rates and collection performance
- Train staff on billing software updates and compliance protocols
- Collaborate with clinical teams to document chargeable services
- Implement process improvements to reduce claim denials by 15%
Qualifications
- 3+ years of medical billing experience in a healthcare setting
- Certified Professional Biller (CPB) or equivalent certification required
- Expertise in Epic EMR and NextGen billing platforms
- Deep knowledge of CPT, ICD-10, and HCPCS coding systems
- Proficient in Microsoft Excel with pivot table experience
- Strong analytical skills with attention to financial detail
- Experience with Medicaid/Medicare reimbursement guidelines
- Bachelor's degree in Healthcare Administration or Finance preferred