Job Description
Join our dynamic healthcare team at Pacific Healthcare Solutions, Honolulu's leading medical billing specialist. We're seeking a meticulous Medical Biller to ensure accurate reimbursement and compliance while supporting our providers' financial health. Enjoy competitive compensation, comprehensive benefits, and career growth in Hawaii's vibrant healthcare sector.
Responsibilities
- Process and submit clean claims to insurance companies and government payers
- Verify patient eligibility and benefits prior to service rendering
- Resolve claim denials and billing discrepancies through appeals
- Maintain compliance with HIPAA, CMS, and payer regulations
- Generate monthly revenue reports and aging accounts
- Collaborate with providers to clarify documentation issues
- Train staff on billing best practices and system updates
Qualifications
- 3+ years of medical billing experience in a US healthcare setting
- Certified Professional Biller (CPB) or CPC certification required
- Expertise in ICD-10, CPT, and HCPCS coding
- Proficiency with Epic or NextGen EHR systems
- Strong knowledge of Medicare/Medicaid and commercial payer policies
- Exceptional attention to detail and problem-solving skills
- Bachelor's degree in Health Information Management or related field