Job Description
Join our award-winning healthcare team as a Senior Billing Specialist! Houston Medical Group is seeking a meticulous finance professional to optimize revenue cycle operations. You'll ensure accurate reimbursement processing, resolve complex billing discrepancies, and drive compliance with healthcare regulations. Enjoy competitive benefits, flexible scheduling, and career growth in one of America's most dynamic cities.
Responsibilities
- Process and reconcile complex medical claims across multiple insurance payers
- Resolve denied claims and billing disputes with 95%+ resolution rate
- Conduct monthly audits of patient accounts and financial reports
- Train junior staff on billing protocols and compliance standards
- Collaborate with clinical teams to document charge-capture accuracy
- Implement process improvements reducing billing cycle time by 20%
Qualifications
- 5+ years of medical billing experience in multi-specialty practice
- Certified Professional Biller (CPB) or CPC-A credentials required
- Expertise in Epic Resolute and NextGen billing systems
- Advanced knowledge of CMS, HIPAA, and Texas Medicaid regulations
- Proven track record reducing AR days by 30%+
- Proficient in SQL for data analysis and reporting