Job Description
Are you a detail-oriented professional ready to advance your career in the healthcare revenue cycle?
Pacific Coast Health Systems is seeking a highly skilled Medical Biller to join our dynamic team in San Diego. We pride ourselves on delivering exceptional patient care and financial transparency. To welcome new talent to our family, we are offering a $3,000 Sign-On Bonus for qualified candidates who are committed to excellence.
In this pivotal role, you will be responsible for ensuring the timely and accurate processing of medical claims, managing patient billing inquiries, and maintaining compliance with federal and state regulations. If you thrive in a fast-paced environment and want to make a tangible difference in healthcare operations, we want to hear from you.
Why Join Us?
- Competitive salary range ($55k - $75k)
- Generous $3,000 Sign-On Bonus
- Comprehensive health, dental, and vision insurance
- Professional development and certification reimbursement
- A collaborative and supportive work culture
Responsibilities
- Accurately submit and follow up on medical claims to insurance carriers (Commercial, Medicare, Medicaid) to ensure timely reimbursement.
- Review and analyze denied or rejected claims to identify root causes and implement corrective action plans.
- Manage the patient billing cycle, including statements, payment posting, and collections while maintaining a high level of patient service.
- Verify and update patient demographic and insurance information within the EHR system.
- Collaborate with coding and clinical teams to resolve billing discrepancies and ensure proper documentation.
- Stay current with changing healthcare regulations, payer policies, and billing codes (ICD-10, CPT).
- Generate and analyze monthly financial reports to identify trends and improve revenue cycle efficiency.
Qualifications
- Certification as a CPC, CMC, CBCS, or RHIA/RHIT is preferred.
- Minimum of 2-3 years of experience in medical billing and revenue cycle management.
- Strong knowledge of healthcare reimbursement models and third-party payer requirements.
- Proficiency with EHR systems (e.g., Epic, Cerner, AthenaHealth) and medical billing software.
- Excellent attention to detail with the ability to detect errors and inconsistencies.
- Strong analytical and problem-solving skills.
- Excellent verbal and written communication skills for interacting with patients and insurance representatives.