Job Description
Apex Health Solutions is a forward-thinking revenue cycle management firm dedicated to streamlining financial operations for healthcare providers. We are currently seeking a highly organized and detail-oriented Billing Specialist to join our dynamic team in Boston. In this role, you will play a critical part in ensuring accurate patient billing, resolving complex claims issues, and maintaining the financial health of our clients.
As a Billing Specialist, you will be the bridge between our medical providers and insurance carriers. We offer a competitive benefits package, a collaborative work environment, and opportunities for professional growth within the healthcare finance sector.
Why Join Us?
- Competitive salary and comprehensive benefits package.
- Opportunity to work with top-tier healthcare technology.
- Supportive and inclusive company culture.
- Professional development and training programs.
Responsibilities
- Review and verify medical records to ensure accurate coding and billing.
- Submit claims to insurance carriers (Commercial, Medicaid, Medicare) and follow up on outstanding balances.
- Resolve claim denials and rejections by identifying root causes and resubmitting documentation.
- Communicate with patients regarding billing inquiries, statements, and payment plans in a professional and empathetic manner.
- Manage and post payments from various sources, ensuring daily reconciliation.
- Maintain accurate and up-to-date patient accounts and billing records.
- Stay current with healthcare regulations, coding updates (ICD-10, CPT), and payer policies.
Qualifications
- High School Diploma or GED required; Associate’s degree in Accounting or Healthcare Administration preferred.
- Minimum of 2-3 years of experience in medical billing, revenue cycle management, or healthcare finance.
- Proficiency with billing software (e.g., Epic, Cerner, NextGen) and Microsoft Office Suite (Excel is essential).
- Strong working knowledge of ICD-10, CPT, and HCPCS coding guidelines.
- Excellent attention to detail and strong analytical problem-solving skills.
- Ability to communicate effectively with patients, insurance adjusters, and internal staff.
- Knowledge of HIPAA compliance and privacy regulations is a plus.