Job Description
Join the Apex Health Systems Team and Advance Your Career in Medical Billing!
Apex Health Systems is a leader in healthcare revenue cycle management, dedicated to optimizing financial health for medical providers. We are currently seeking a highly organized and detail-oriented Medical Biller to join our dynamic team in Baltimore, MD. This is a fantastic opportunity to work with cutting-edge technology and make a tangible impact on patient care through precise financial operations.
Why Apply?
We offer a competitive salary structure, comprehensive benefits, and a Generous Sign-On Bonus for qualified candidates looking to join our mission of excellence.
Responsibilities
- Claims Management: Accurately verify patient insurance information and submit clean claims to payers (Medicare, Medicaid, Commercial) via electronic and paper transmission.
- Denial Management: Analyze denied or rejected claims, identify root causes, and initiate timely appeals to maximize revenue recovery.
- Code Accuracy: Apply appropriate ICD-10 and CPT codes based on medical records and physician documentation to ensure compliance.
- Payment Posting: Process payments, post adjustments, and manage patient accounts receivable to ensure accurate financial reporting.
- Compliance: Maintain strict adherence to HIPAA regulations and internal coding policies to ensure data security and audit readiness.
- Reporting: Generate and review monthly billing reports to track key performance indicators (KPIs) such as Days in A/R and collection rates.
Qualifications
- Education: High School Diploma or GED required; Associate's degree in Medical Billing, Coding, or Healthcare Administration preferred.
- Certification: Certified Professional Coder (CPC) or Certified Billing and Coding Specialist (CBCS) certification is highly desirable.
- Experience: Minimum of 2-3 years of experience in medical billing and claims processing.
- Technical Skills: Proficiency with electronic health record (EHR) systems (e.g., Epic, AthenaHealth) and medical billing software (e.g., ClearHealth, Cerner).
- Knowledge: Strong understanding of healthcare reimbursement models, HCPCS Level II codes, and medical terminology.
- Soft Skills: Exceptional attention to detail, strong analytical problem-solving skills, and excellent communication abilities.