Job Description
We are seeking a highly skilled and detail-oriented Medical Biller to join our growing team in Sacramento, CA. In this pivotal role, you will be the financial backbone of our healthcare operations, ensuring that providers are reimbursed accurately and efficiently. We pride ourselves on our commitment to our employees, offering a dynamic work environment and the benefit of weekly paychecks.
If you have a strong background in medical coding, claims processing, and a passion for the healthcare industry, we want to hear from you. Take the next step in your career with a company that values your expertise and rewards your hard work immediately.
Responsibilities
- Manage Revenue Cycle: Accurately submit and follow up on medical claims to insurance carriers (Medicare, Medicaid, Commercial) to ensure timely reimbursement.
- Claims Analysis: Review Explanation of Benefits (EOB) statements and remittance advices to identify discrepancies, denials, and underpayments.
- Patient Billing: Communicate with patients regarding outstanding balances, explain statements, and facilitate payment arrangements.
- Insurance Verification: Verify patient insurance eligibility and benefits prior to services rendered to prevent claim denials.
- Denial Management: Research and appeal denied claims efficiently to recover revenue.
- Compliance: Maintain strict adherence to HIPAA regulations and internal compliance standards.
- Reporting: Maintain accurate records of billing activities and prepare reports for management review.
Qualifications
- Education: High school diploma or GED required; Associate degree in Medical Billing or Coding preferred.
- Certification: CPC (Certified Professional Coder) or CPC-H certification is highly preferred.
- Experience: Minimum of 2-3 years of experience in medical billing and claims processing within a healthcare setting.
- Technical Skills: Proficient in Electronic Health Records (EHR) systems (e.g., AthenaHealth, Epic, Cerner) and practice management software.
- Knowledge: Strong understanding of ICD-10 and CPT coding guidelines, medical terminology, and anatomy.
- Communication: Excellent written and verbal communication skills with the ability to interact effectively with patients and insurance representatives.
- Attention to Detail: Exceptional ability to spot errors and ensure data accuracy.