Job Description
Are you a detail-oriented professional with a passion for healthcare administration? Apex Medical Billing Solutions is seeking a highly skilled Medical Biller to join our dynamic team in Irvine, CA.
We are offering a Direct Hire opportunity for a dedicated individual to manage our revenue cycle operations. In this pivotal role, you will ensure the accuracy of patient billing, optimize reimbursement rates, and maintain compliance with healthcare regulations. Join a company that values precision, integrity, and employee growth.
Why Join Us?
- Competitive salary: $25.00 - $35.00/hour
- Comprehensive health, dental, and vision insurance.
- 401(k) retirement plan with company match.
- Professional development and continuing education opportunities.
- A collaborative and supportive work environment in the heart of Orange County.
Responsibilities
- Claims Management: Review and submit medical claims to insurance carriers (Blue Cross, Anthem, Aetna, etc.) to ensure timely and accurate reimbursement.
- Patient Billing: Prepare and send invoices to patients, explain billing statements, and facilitate payment collections.
- Code Verification: Verify medical codes (ICD-10 and CPT) and ensure they accurately reflect the services provided by physicians.
- Insurance Verification: Contact insurance companies to verify patient coverage, eligibility, and benefits prior to services rendered.
- Denial Management: Analyze denied or rejected claims, identify root causes, and resubmit claims with necessary corrections.
- Compliance: Maintain strict adherence to HIPAA regulations and internal company policies regarding patient data privacy.
- Reporting: Generate and review monthly billing reports to track revenue status and identify trends.
Qualifications
- Education: High school diploma or GED required; Associate’s degree in Medical Billing, Coding, or Healthcare Administration preferred.
- Certification: CPC, COC, CCA, RHIT, or RHIA certification is highly preferred.
- Experience: Minimum of 2-3 years of experience in medical billing and claims processing.
- Technical Skills: Proficiency with Electronic Health Records (EHR) systems such as Epic, Cerner, or AthenaHealth.
- Software: Strong working knowledge of billing software (e.g., Practice Fusion, AdvancedMD).
- Attention to Detail: Exceptional ability to spot errors and ensure data integrity in financial records.
- Communication: Excellent verbal and written communication skills for interacting with patients and insurance representatives.