Job Description
Join our dynamic finance team at HealthCare Solutions Inc., a leading healthcare provider in Raleigh, NC. We're seeking a meticulous Billing Specialist to optimize our revenue cycle management. This pivotal role ensures accurate claim submissions, resolves billing discrepancies, and maintains compliance with healthcare regulations. Enjoy competitive compensation, comprehensive benefits, and a supportive work environment focused on professional growth.
Responsibilities
- Process and submit insurance claims with 98% accuracy
- Investigate and resolve denied claims within 5 business days
- Reconcile accounts receivable daily using Epic EHR systems
- Communicate with patients regarding billing inquiries
- Maintain compliance with HIPAA and CMS regulations
- Generate monthly revenue cycle reports for leadership
- Collaborate with clinical teams on coding accuracy
- Train staff on billing process updates quarterly
Qualifications
- 3+ years of medical billing experience
- Certified Professional Biller (CPB) credential required
- Proficiency in Epic Resolute and NextGen EHR platforms
- Expert knowledge of CPT, ICD-10, and HCPCS codes
- Strong analytical skills for complex claim resolution
- Excellent written and verbal communication abilities
- Experience with Medicare/Medicaid billing protocols
- Associate's degree in healthcare administration or related field