Job Description
Join our dynamic healthcare team as a Medical Biller in Memphis, TN! At MediCare Billing Solutions, we're revolutionizing revenue cycle management with cutting-edge technology and compassionate patient care. We're seeking a detail-oriented professional to ensure accurate claim submissions and maximize reimbursement efficiency. Enjoy competitive benefits, ongoing training, and a supportive environment where your expertise directly impacts our community's health outcomes.
Responsibilities
- Process and submit medical claims to insurance payers with 99% accuracy
- Verify patient eligibility and benefits before service delivery
- Resolve claim denials and appeals within SLA timeframe
- Maintain compliance with HIPAA, CMS, and payer regulations
- Collaborate with clinical teams to document charge codes
- Analyze denial trends and implement corrective actions
- Generate monthly revenue cycle performance reports
Qualifications
- 3+ years of medical billing experience in outpatient/hospital settings
- Certified Professional Biller (CPB) or CPC credential required
- Proficiency in Epic, NextGen, or similar EHR systems
- Expert knowledge of ICD-10, CPT, and HCPCS coding
- Strong analytical skills for denial root cause analysis
- Exceptional communication for payer negotiations
- Experience with Medicare/Medicaid billing protocols