Job Description
Join our dynamic revenue cycle team as a Senior Billing Specialist at Nevada Health Solutions. We're seeking a meticulous professional to optimize billing operations for our growing healthcare network. Enjoy competitive compensation, comprehensive benefits, and career advancement opportunities in Las Vegas's thriving healthcare sector.
Responsibilities
- Process complex medical claims with 95%+ accuracy using Epic EMR systems
- Resolve claim denials and A/R aging through strategic payer negotiations
- Ensure HIPAA compliance in all billing documentation and processes
- Train junior staff on billing protocols and ICD-10/CPT coding updates
- Collaborate with clinical teams to capture complete charge documentation
- Generate monthly performance reports for departmental KPIs
- Implement process improvements to reduce claim rejection rates
Qualifications
- 3+ years of medical billing experience in outpatient/hospital settings
- Expertise in CPT/HCPCS coding and CMS-1500 forms
- Certified Professional Biller (CPB) or CPC credentials required
- Advanced proficiency in Epic Resolute and Microsoft Excel
- Strong analytical skills with attention to detail
- Experience with Medicaid/Medicare and commercial payers
- Bachelor's degree in Healthcare Administration or related field