Job Description
Join our dynamic healthcare finance team as a Billing Specialist at HealthCare Solutions Inc. We're seeking a detail-oriented professional to manage revenue cycle operations and ensure accurate reimbursement for our growing network of medical providers. This is a hybrid role offering competitive benefits and career growth opportunities in San Antonio's thriving healthcare sector.
Responsibilities
- Process and submit medical claims to insurance payers with 99% accuracy
- Manage accounts receivable and resolve claim denials within SLA
- Verify patient eligibility and benefits prior to service delivery
- Conduct regular audits of billing documentation for compliance
- Collaborate with clinical teams to ensure charge capture completeness
- Generate monthly revenue cycle performance reports
- Stay updated on CMS and commercial payer policy changes
Qualifications
- Associate's degree in Healthcare Administration or related field
- 3+ years of medical billing experience in a clinic/hospital setting
- Certified Professional Biller (CPB) or CPC certification required
- Expertise in ICD-10, CPT, and HCPCS coding systems
- Proficient with Epic, NextGen, or similar EHR billing modules
- Strong analytical skills with attention to financial details
- Experience with Medicaid/Medicare and commercial claim processing