Job Description
We are seeking a highly motivated and detail-oriented Billing Specialist to join our finance team in Mesa, Arizona. As a key player in our revenue cycle, you will ensure the accuracy of patient billing, manage complex insurance claims, and maintain our commitment to financial transparency.
At Apex Medical Billing Solutions, we pride ourselves on operational excellence and employee growth. We offer a collaborative environment where your attention to detail directly impacts our success. If you are looking for a stable career in the healthcare finance sector, we want to meet you.
What You Will Do:
- Oversee the end-to-end billing process, ensuring timely and accurate submission of claims.
- Analyze and resolve claim denials and rejections to maximize revenue recovery.
- Reconcile patient accounts and prepare monthly financial reports.
- Communicate effectively with insurance carriers and patients to resolve billing inquiries.
- Maintain strict compliance with HIPAA regulations and internal financial policies.
Responsibilities
- Claims Management: Accurately code and submit medical claims (ICD-10/CPT) to commercial and government payers using Epic and NextGen software.
- Revenue Cycle Oversight: Monitor accounts receivable aging, follow up on outstanding balances, and negotiate payment plans when necessary.
- Denial Analysis: Investigate denied claims to identify root causes, implement corrective actions, and reduce future denial rates.
- Reconciliation: Perform daily and monthly reconciliation of billing ledgers to ensure data integrity and accuracy.
- Customer Service: Provide professional support to patients and providers regarding billing statements and insurance coverage.
- Compliance: Adhere to all state and federal healthcare billing standards and internal audit requirements.
Qualifications
- Experience: Minimum of 2 years of experience in medical billing, claims processing, or a related administrative role.
- Education: High School Diploma or GED required; Associate degree in Healthcare Administration or related field is preferred.
- Technical Proficiency: Familiarity with EHR systems (Epic, Cerner, or Allscripts) and billing clearinghouses.
- Knowledge: Solid understanding of ICD-10, CPT, and HCPCS coding guidelines and medical terminology.
- Software Skills: Advanced proficiency in Microsoft Office Suite, particularly Excel for data analysis.
- Soft Skills: Strong attention to detail, excellent problem-solving abilities, and the ability to communicate complex financial information clearly.