Job Description
We are seeking a highly skilled and detail-oriented Medical Biller to join our dynamic healthcare team in Jersey City, NJ. In this pivotal role, you will manage the revenue cycle process, ensuring accurate claim submissions and timely reimbursement for our providers.
At Apex Healthcare Solutions, we value precision, integrity, and professional growth. Join us to work in a collaborative environment where your expertise directly impacts patient care and operational success.
Responsibilities
- Review medical records and verify coding accuracy (ICD-10, CPT) prior to claim submission.
- Submit and follow up on claims with commercial insurers, Medicare, and Medicaid using Epic and NextGen systems.
- Analyze denied or rejected claims to identify root causes and resubmit with necessary corrections.
- Manage accounts receivable by sending statements, collecting payments, and resolving billing discrepancies.
- Communicate effectively with patients regarding financial responsibilities and insurance coverage.
- Stay updated on healthcare regulations, compliance standards (HIPAA), and coding updates.
Qualifications
- Minimum of 2-3 years of experience in medical billing and coding.
- Certification as a CPC, CMA, or RHIA is preferred.
- Proficient in medical billing software such as Epic, NextGen, or Practice Fusion.
- Strong understanding of medical terminology, anatomy, and healthcare reimbursement models.
- Excellent analytical skills with a keen eye for detail to minimize errors.