Job Description
Join our dynamic finance team as a Senior Billing Specialist at HealthCare Solutions Inc. We're seeking a meticulous professional to optimize revenue cycle operations for our San Diego-based healthcare clients. This hybrid role offers growth opportunities in a supportive environment with comprehensive benefits.
Responsibilities
- Manage end-to-end billing processes for complex healthcare portfolios
- Analyze claim denials and implement corrective action plans
- Collaborate with insurance carriers to resolve payment discrepancies
- Maintain compliance with HIPAA and CMS regulations
- Train junior billing staff on system protocols
- Generate monthly revenue cycle performance reports
- Coordinate with clinical teams for accurate charge documentation
Qualifications
- 5+ years of medical billing experience in a hospital or clinic setting
- Certified Professional Biller (CPB) or equivalent credential required
- Expertise in Epic or NextGen EMR systems
- Advanced knowledge of CPT/ICD-10 coding standards
- Strong analytical skills with attention to detail
- Bachelor's degree in Healthcare Administration or Finance preferred
- Experience with AR aging reports and denial management