Job Description
Join our dynamic finance team at MediFin Solutions, a leading healthcare technology firm revolutionizing medical billing systems. We're urgently seeking a detail-oriented Billing Specialist to optimize revenue cycles and ensure compliance with healthcare regulations. This hybrid role offers competitive compensation, comprehensive benefits, and opportunities for career growth in Sacramento's thriving healthcare sector.
Responsibilities
- Manage end-to-end billing processes for 500+ healthcare providers
- Resolve complex insurance claim denials and AR aging reports
- Analyze revenue trends to identify process improvement opportunities
- Ensure HIPAA compliance and audit readiness in billing operations
- Collaborate with providers to verify patient eligibility and coverage
- Implement CPT/ICD-10 coding updates for accurate reimbursement
- Train staff on billing software and regulatory changes
Qualifications
- 5+ years of medical billing experience with commercial insurance
- Expertise in Epic, Medisoft, or similar billing platforms
- Certified Professional Biller (CPB) or equivalent credential
- Advanced knowledge of CMS 1500 and UB-04 forms
- Proven track record in reducing claim denials by 30%+
- Strong analytical skills with proficiency in Excel and SQL
- Ability to manage high-volume transactions with 99.5% accuracy
- Experience in healthcare revenue cycle management