Job Description
Join our dynamic healthcare team in sunny San Diego as a Medical Biller and become a vital part of our revenue cycle management! We're seeking a meticulous professional to ensure accurate claim submissions, optimize reimbursement processes, and maintain compliance with healthcare regulations. Enjoy competitive compensation, comprehensive benefits, and a collaborative work environment in one of America's most vibrant cities.
Responsibilities
- Accurately code and submit medical claims using CPT, ICD-10, and HCPCS standards
- Verify patient insurance eligibility and benefits for all services rendered
- Manage accounts receivable and follow up on denied/underpaid claims
- Ensure HIPAA compliance and maintain strict patient data confidentiality
- Collaborate with clinical teams to resolve billing discrepancies
- Analyze denial trends and recommend process improvements
- Generate monthly reports on key revenue cycle metrics
Qualifications
- 3+ years of medical billing experience in a clinical or hospital setting
- Proficiency in Epic, NextGen, or similar EHR/EMR systems
- Certified Medical Reimbursement Specialist (CMRS) or CPC credential preferred
- Expert knowledge of insurance claim processes and payer guidelines
- Strong analytical skills with attention to detail
- Excellent communication and problem-solving abilities
- Familiarity with San Diego healthcare market a plus