Job Description
Join our dynamic healthcare team in sunny San Diego! Healthcare Solutions Inc. is seeking a meticulous Medical Biller to ensure accurate reimbursement processes and maintain financial integrity for our growing patient base. Enjoy competitive compensation, comprehensive benefits, and a collaborative work environment in one of America's most vibrant cities.
Responsibilities
- Process and submit clean claims to insurance companies and government payers
- Verify patient eligibility and benefits before service delivery
- Resolve billing discrepancies through follow-up with providers and payers
- Maintain compliance with HIPAA, CMS, and billing regulations
- Analyze denial reports and implement corrective actions
- Utilize Epic and NextGen EHR systems for coding and billing
Qualifications
- 3+ years of medical billing experience in a clinical setting
- Certified Professional Biller (CPB) or CPC certification required
- Proficiency in ICD-10, CPT, and HCPCS coding
- Expertise in claim scrubbing and denial management
- Strong knowledge of California Medicaid (Medi-Cal) policies
- Advanced analytical and problem-solving abilities