Job Description
Join our dynamic finance team at MediFlow Solutions, a leading healthcare technology innovator. We're urgently seeking a meticulous Billing Specialist to manage complex revenue cycles in our fast-paced San Jose headquarters. This critical role ensures accurate reimbursement processing while maintaining HIPAA compliance. Enjoy competitive benefits, flexible work arrangements, and opportunities for professional growth in a collaborative environment.
Responsibilities
- Process and submit insurance claims with 99% accuracy for diverse payer networks
- Resolve billing discrepancies through direct payer communication and account adjustments
- Generate monthly revenue reports and analyze aging accounts receivable
- Collaborate with clinical teams to ensure proper CPT/ICD-10 coding compliance
- Implement process improvements to reduce claim denial rates by 15% quarterly
- Train staff on billing system updates and regulatory changes
Qualifications
- 5+ years of medical billing experience with commercial and government payers
- Expertise in Epic EMR and NextGen billing platforms
- Certified Professional Biller (CPB) credential required
- Advanced knowledge of HIPAA, EHR compliance, and CMS guidelines
- Proven track record in reducing AR days by 20%+
- Exceptional analytical skills with proficiency in Excel pivot tables
- Experience with RCM cycle optimization and denial management