Job Description
Are you a detail-oriented professional looking to advance your career in the healthcare industry? Apex Healthcare Solutions is seeking a skilled Medical Biller to join our dynamic team in San Diego. This is a direct hire opportunity for a dedicated individual who wants to make a tangible impact on our revenue cycle operations.
In this role, you will be responsible for ensuring that our healthcare providers are reimbursed efficiently and accurately. You will manage the entire billing process, from initial claim submission to follow-up on outstanding accounts. We offer a competitive salary, comprehensive benefits, and a collaborative work environment.
Responsibilities
- Claims Management: Review patient charts and verify demographics, then submit accurate claims to insurance payers (Commercial, Medicare, Medicaid) via clearinghouse.
- Denial Management: Analyze denied claims to identify root causes and appeal rejected submissions to ensure maximum reimbursement.
- Accounts Receivable (AR): Monitor patient balances and follow up on outstanding invoices to reduce the Days Sales Outstanding (DSO).
- Compliance: Maintain strict adherence to HIPAA regulations and internal coding standards to protect patient privacy and ensure legal compliance.
- Communication: Serve as the primary point of contact for insurance companies and patients regarding billing inquiries and payment plans.
- Reporting: Maintain accurate records of billing activities and prepare regular reports on revenue cycle performance for management review.
Qualifications
- Certification: CPC, COC, RHIT, or RHIA certification preferred; equivalent experience in medical billing is required.
- Experience: Minimum of 2-3 years of experience in medical billing, claims processing, or revenue cycle management.
- Technical Skills: Proficiency in medical billing software (Epic, AthenaHealth, or Cerner) and Microsoft Excel.
- Knowledge: Strong understanding of ICD-10 and CPT coding guidelines, as well as insurance claim submission processes.
- Attention to Detail: Exceptional ability to spot errors in data entry and documentation.
- Soft Skills: Strong interpersonal skills with the ability to communicate complex billing information clearly to non-technical staff and patients.