Job Description
We are currently seeking a highly skilled Medical Biller to join our growing team in San Jose, CA. This is a Direct Hire opportunity with a top-tier healthcare provider committed to excellence in patient care and financial operations.
In this role, you will play a critical part in our revenue cycle management process, ensuring accurate billing, timely claims submission, and efficient resolution of denials. If you are detail-oriented and looking for a stable career path in the medical billing industry, we want to hear from you.
Responsibilities
- Review and verify patient demographics and insurance information to ensure accuracy before claims submission.
- Submit claims to insurance payers (commercial, Medicare, and Medicaid) using Electronic Health Record (EHR) systems.
- Analyze denied claims and appeal rejections to maximize revenue collection.
- Maintain accurate and up-to-date patient records and billing files in compliance with HIPAA regulations.
- Communicate with patients and insurance companies regarding billing inquiries and account balances.
- Track and reconcile accounts receivable to ensure timely payment.
Qualifications
- Minimum of 2-3 years of experience in medical billing and coding.
- Proficiency in CPT, ICD-10, and HCPCS coding guidelines.
- Experience with billing software (e.g., AthenaHealth, Epic, or Cerner) is highly preferred.
- Strong knowledge of Revenue Cycle Management (RCM) processes.
- Excellent attention to detail and analytical problem-solving skills.
- Associate degree or certification in Medical Billing and Coding (CPC, CBCS, or RHIA/RHIT preferred).