Job Description
Join our dynamic finance team at MediCorp Solutions, a leading healthcare technology firm in Silicon Valley. We're urgently seeking a detail-oriented Senior Billing Specialist to optimize our revenue cycle management. This critical role offers competitive compensation, comprehensive benefits, and opportunities for career growth in a collaborative environment.
As a key member of our finance department, you'll ensure accurate billing processes, resolve complex insurance claims, and maintain compliance with healthcare regulations. If you're a proactive problem-solver with expertise in medical billing and a passion for operational excellence, we encourage you to apply immediately.
Responsibilities
- Manage end-to-end billing processes including charge entry, claim submission, and payment posting
- Resolve complex insurance claim denials and patient billing inquiries
- Conduct regular audits of billing records to ensure accuracy and compliance
- Collaborate with clinical teams to verify coding accuracy and documentation
- Generate monthly billing reports and analyze revenue trends
- Implement process improvements to reduce claim rejection rates
- Train staff on billing protocols and system updates
- Ensure HIPAA and ACA compliance in all billing activities
Qualifications
- 5+ years of medical billing experience with insurance companies
- Expertise in CPT/ICD-10 coding and claim resolution
- Proficiency in Epic or similar EHR billing systems
- Certified Professional Biller (CPB) or CPC certification required
- Strong analytical skills with attention to detail
- Experience with AR aging reports and denial management
- Ability to work in a fast-paced environment with competing priorities
- Excellent communication skills for patient and insurer interactions