Job Description
Join our award-winning healthcare team as a Medical Biller at Oakland Health Partners! We're seeking a meticulous professional to ensure accurate revenue cycle management for our diverse patient population. Enjoy competitive compensation, comprehensive benefits including health/dental/vision, and a collaborative environment where your expertise directly impacts community health outcomes.
Why Choose Us?
- Industry-leading training programs
- Modern EHR systems with intuitive billing modules
- Clear advancement pathways to coding and compliance roles
- Supportive hybrid work options (3 remote days/week)
Responsibilities
- Submit clean claims to Medicare/Medicaid/private payers with 95%+ accuracy
- Resolve claim denials within 48 hours using appeal protocols
- Conduct patient billing consultations for high-dollar accounts
- Reconcile daily AR reports and aging reports weekly
- Ensure HIPAA/GINA compliance in all billing operations
- Train staff on new CPT/ICD-10 code updates
- Collaborate with providers to document services accurately
Qualifications
- 3+ years medical billing experience in multi-specialty practice
- Certified Professional Biller (CPB) or CPC credentials required
- Expertise in Epic/Nextgen EHR systems
- Advanced knowledge of Medicare Advantage billing rules
- Proven reduction in claim denial rates by 25%+
- Proficiency in Denial Management software (e.g., Waystar)
- Spanish bilingual preferred
- Ability to achieve 98% clean claim submission rate