Job Description
Are you detail-oriented with a passion for healthcare administration? Pacific Health Systems is seeking a dedicated Medical Biller to join our growing team in Stockton, CA. As a Medical Biller, you will play a crucial role in ensuring our healthcare partners receive timely reimbursement for their services while maintaining the highest standards of compliance and accuracy.
We pride ourselves on offering a competitive salary, comprehensive benefits package, and a collaborative work environment that fosters professional growth. If you are looking for a challenging role in the health care sector, we want to hear from you.
Responsibilities
- Claims Management: Review and analyze medical records and billing codes (ICD-10, CPT) for accuracy and compliance before submission.
- Insurance Follow-up: Submit claims to insurance carriers (Medicare, Medicaid, Private) and aggressively follow up on denied or delayed claims.
- Patient Communication: Verify patient insurance eligibility, explain financial responsibilities, and collect co-pays or deductibles.
- Account Maintenance: Maintain and update patient financial records, accounts receivable, and ledger balances.
- Reporting: Reconcile daily bank deposits and generate detailed financial reports to track revenue.
- Compliance: Ensure all billing practices adhere to HIPAA regulations and company policies.
Qualifications
- Education: High school diploma or GED required; Associate degree in Medical Billing, Health Administration, or related field is preferred.
- Certification: Certification (e.g., CPC, CPC-H, CMC, RHIA) is a plus but not mandatory.
- Experience: 1-3 years of hands-on experience in medical billing, claims processing, or revenue cycle management.
- Technical Skills: Proficiency in EHR systems (e.g., Epic, Athenahealth, Cerner) and practice management software.
- Knowledge: Strong understanding of medical terminology, healthcare regulations, and coding standards.
- Soft Skills: Exceptional attention to detail, analytical problem-solving skills, and strong communication abilities.