Job Description
Join our award-winning healthcare team in Durham, NC as a Full-Time Medical Biller! HealthCare Solutions Inc. is seeking a detail-oriented professional to ensure accurate revenue cycle management. Enjoy competitive compensation, comprehensive benefits, and a supportive environment where your expertise directly impacts patient care. Apply today and grow your career in one of America's top healthcare markets!
Responsibilities
- Process and submit clean claims to insurance providers within 30-day timeframe
- Verify patient eligibility and benefits prior to service rendering
- Resolve claim denials and appeals with 95% first-pass success rate
- Maintain compliance with HIPAA, CMS, and payer-specific regulations
- Conduct regular audits of billing documentation for accuracy
- Collaborate with clinical staff to ensure proper coding documentation
Qualifications
- 3+ years of medical billing experience in a clinical setting
- Certified Professional Biller (CPB) or CPC certification required
- Expertise in CPT, ICD-10, and HCPCS coding systems
- Proficient with Epic, NextGen, or similar EHR platforms
- Strong knowledge of Medicare/Medicaid and commercial payer policies
- Exceptional analytical and problem-solving abilities
- High school diploma or equivalent; associate's degree preferred