Job Description
Join our award-winning healthcare finance team as a Senior Billing Specialist at Healthcare Financial Solutions. We're seeking a meticulous professional to optimize revenue cycle operations for Houston's leading medical providers. This hybrid role combines strategic financial expertise with hands-on claim management in a fast-paced, collaborative environment.
Our ideal candidate will drive 95%+ clean claim rates while maintaining compliance with CMS and insurance regulations. Enjoy comprehensive benefits including health insurance, 401(k) matching, and professional development stipends.
Responsibilities
- Manage end-to-end claim processing for 500+ patient accounts daily
- Resolve complex insurance denials through appeals and documentation
- Conduct monthly reconciliation of accounts receivable reports
- Train junior staff on billing software and compliance protocols
- Collaborate with coding department for accurate charge capture
- Analyze aging reports to implement collection strategies
- Ensure HIPAA compliance in all billing operations
Qualifications
- 5+ years of medical billing experience in a hospital setting
- Certified Professional Biller (CPB) or CPC credential required
- Expertise in Epic EMR and Medisoft billing systems
- Advanced knowledge of Medicare/Medicaid and commercial payers
- Proven track record of reducing AR days by 15%+
- Bachelor's degree in Healthcare Administration or Finance
- Strong analytical skills with proficiency in Excel dashboards