Job Description
Are you a detail-oriented professional looking to make an impact in the healthcare industry?
Apex Medical Solutions is seeking a highly skilled Medical Biller to join our dynamic team in Baltimore, MD. We are offering a generous $5,000 Sign-On Bonus for qualified candidates who want to advance their careers with a leader in medical revenue cycle management.
In this pivotal role, you will be responsible for ensuring the timely and accurate submission of medical claims, maximizing revenue for our clients while maintaining strict compliance with HIPAA regulations. If you have a passion for healthcare finance and possess exceptional organizational skills, we want to hear from you.
Responsibilities
- Claims Management: Accurately complete and submit claims to insurance carriers (CMS-1500) and follow up on pending and denied claims to ensure timely reimbursement.
- Patient Billing: Generate monthly patient statements, answer inquiries regarding balances, and collect payments via various methods.
- Code Verification: Review medical records and physician documentation to ensure proper coding (ICD-10, CPT, HCPCS) and compliance with coding guidelines.
- Denial Analysis: Analyze denied claims to identify root causes and implement corrective action plans to reduce future denials.
- Financial Reporting: Maintain accurate records of financial transactions, accounts receivable aging, and daily cash collections.
- Compliance: Adhere to all company policies, state, and federal regulations regarding patient privacy and billing practices.
Qualifications
- Education: High School Diploma or GED required; Associate’s degree in Medical Billing, Health Information Technology, or related field preferred.
- Experience: Minimum of 2-3 years of experience in medical billing and coding.
- Certification: CPC (Certified Professional Coder) or CEM (Certified Electronic Medical Intermediary) certification is highly desirable.
- Technical Skills: Proficiency with Electronic Health Records (EHR) systems such as Epic, Cerner, or AthenaHealth, and strong knowledge of clearinghouse processes.
- Analytical Skills: Strong attention to detail with the ability to interpret complex medical documentation and insurance policies.
- Communication: Excellent written and verbal communication skills for interacting with patients, providers, and insurance payers.