Job Description
Join our dynamic finance team at MediCare Pro Solutions, a leading healthcare revenue cycle management firm. We're seeking a meticulous Billing Specialist to optimize our revenue streams while ensuring compliance with healthcare regulations. This hybrid role offers competitive compensation, comprehensive benefits, and opportunities for professional growth in Baltimore's thriving medical sector.
Responsibilities
- Manage end-to-end billing processes for 300+ healthcare providers using Epic and NextGen systems
- Resolve complex insurance claim denials with 95%+ accuracy rate
- Analyze A/R aging reports to identify bottlenecks and implement process improvements
- Collaborate with clinical teams to ensure accurate charge capture and documentation
- Conduct monthly audits for HIPAA and CMS compliance
- Maintain 99.9% data integrity in billing databases
- Train junior staff on billing protocols and regulatory updates
Qualifications
- 5+ years of medical billing experience with commercial and government payers
- Certified Professional Biller (CPB) or CPC-A credential required
- Expertise in ICD-10, CPT, and HCPCS coding
- Advanced proficiency in Excel and billing software (e.g., Athena, eClinicalWorks)
- Proven track record of reducing DSO by 20%+
- Strong analytical skills with attention to detail
- Bachelor's degree in Healthcare Administration or related field