Job Description
Join our award-winning finance team at Mountain Healthcare Solutions as we revolutionize healthcare billing operations in Colorado. We're seeking a detail-oriented Billing Specialist to streamline revenue cycles and ensure compliance with complex healthcare regulations. This urgent opening offers immediate impact in a fast-paced environment where your expertise directly shapes our financial success.
Responsibilities
- Manage end-to-end revenue cycle operations including patient billing, insurance claims processing, and payment reconciliation
- Resolve complex billing discrepancies through meticulous analysis of EOBs and patient accounts
- Ensure HIPAA compliance while maintaining 99.7% accuracy in charge entry and coding
- Collaborate with clinical departments to optimize charge capture processes
- Develop and implement process improvements reducing claim denials by 25%
- Lead month-end closing activities and financial reporting for department heads
- Train staff on new billing protocols and regulatory updates
Qualifications
- 5+ years of healthcare billing experience with proven expertise in CPT/ICD-10 coding
- Advanced proficiency in Epic Resolute and NextGen billing systems
- Certified Professional Biller (CPB) or CPC-A credentials required
- Demonstrated success reducing AR days by 30+ days
- Expert knowledge of Colorado Medicaid and commercial payer policies
- Exceptional problem-solving skills with 95% first-pass claim rate
- Ability to manage high-volume deadlines with zero compliance violations