Job Description
Join our dynamic healthcare finance team as a Senior Billing Specialist at Central Valley Medical Group. We're seeking a meticulous professional to optimize revenue cycle operations while ensuring compliance with HIPAA and CMS regulations. This hybrid role offers competitive compensation, comprehensive benefits, and growth opportunities in Fresno's thriving medical sector.
Responsibilities
- Process complex medical claims across multiple insurance payers with 98% accuracy
- Conduct thorough account receivable analysis and aging reports
- Resolve billing discrepancies through direct payer communication
- Implement CPT/ICD-10 coding updates for service reimbursement
- Train junior staff on billing protocols and software systems
- Perform monthly reconciliations for EHR and billing platforms
Qualifications
- 5+ years of medical billing experience in specialty practice
- Advanced proficiency in Epic and NextGen EHR systems
- Certified Professional Biller (CPB) credential required
- Expert knowledge of CA Medicaid and Blue Shield policies
- Proven ability to reduce AR days by 15%+
- Strong data analysis skills with Excel pivot tables
- Experience with RCM optimization initiatives