Job Description
Join our award-winning healthcare finance team at MediCare Billing Solutions, where precision meets patient care. We're seeking a meticulous Billing Specialist to optimize revenue cycle operations in our Sacramento headquarters. With industry-leading benefits and career growth opportunities, this role is your gateway to mastering healthcare compliance while supporting over 50,000 patients monthly.
Responsibilities
- Process complex medical claims with 99.2% accuracy across multiple insurance payers
- Resolve billing discrepancies through direct payer negotiations and appeals management
- Implement CPT/ICD-10 coding updates to maximize reimbursement rates
- Analyze A/R reports to identify and reduce aging balances by 15% quarterly
- Train staff on new billing protocols and HIPAA compliance requirements
- Collaborate with clinical teams to ensure documentation meets billing standards
Qualifications
- 3+ years of medical billing experience with Medicare/Medicaid and commercial payers
- Certified Professional Biller (CPB) or CPC credential required
- Expertise in Epic EMR and Medisoft billing systems
- Advanced knowledge of EOB analysis and denial resolution workflows
- Proven track record of reducing claim denial rates by 25%
- Strong data visualization skills using Power BI/Tableau
- Ability to maintain HIPAA compliance in fast-paced environments