Job Description
Join our award-winning healthcare team as a Direct Hire Medical Biller in Raleigh, NC! We're seeking a meticulous professional to ensure accurate reimbursement and compliance in a dynamic, patient-centered environment. Enjoy competitive benefits, career growth opportunities, and a collaborative culture that values your expertise.
Responsibilities
- Process and submit clean medical claims to insurance companies and government payers
- Verify patient eligibility, benefits, and coverage details
- Analyze and resolve claim denials, underpayments, and billing discrepancies
- Maintain accurate patient accounts and electronic health records
- Ensure compliance with HIPAA, CMS, and payer-specific regulations
- Communicate effectively with patients, providers, and insurance representatives
- Generate monthly reports on billing performance metrics
Qualifications
- 3+ years of medical billing experience with commercial and government payers
- Certified Professional Biller (CPB) or CPC certification preferred
- Proficiency in Epic, NextGen, or similar EHR/billing systems
- Expert knowledge of CPT, ICD-10, and HCPCS coding
- Strong analytical skills and attention to detail
- Experience with claim scrubbers and denial management
- Excellent communication and problem-solving abilities
- Associate degree in health information technology or related field