Job Description
Join our award-winning healthcare team as a Medical Biller and receive a $5,000 sign-on bonus! MediSource Solutions is seeking a meticulous and detail-oriented Medical Biller to join our Charlotte office. You'll play a crucial role in our revenue cycle management, ensuring accurate coding and timely claim submissions while collaborating with clinical teams to maximize reimbursement. This hybrid role offers competitive benefits, career advancement opportunities, and a supportive work environment focused on your professional growth.
Responsibilities
- Accurately code medical diagnoses and procedures using ICD-10, CPT, and HCPCS coding systems
- Submit clean claims to insurance carriers and government payers (Medicare/Medicaid)
- Manage accounts receivable through follow-up on unpaid claims and denials
- Conduct thorough insurance verification and prior authorizations
- Generate monthly reports on key performance metrics (A/R aging, denial rates)
- Collaborate with providers to resolve billing discrepancies and documentation issues
- Stay updated on regulatory changes (HIPAA, CMS guidelines) and implement best practices
Qualifications
- 3+ years of medical billing experience in a clinical or hospital setting
- Certified Professional Biller (CPB) or Certified Medical Reimbursement Specialist (CMRS) preferred
- Proficiency in Epic, NextGen, or similar EHR/PM systems
- Strong knowledge of insurance claim processes and reimbursement methodologies
- Exceptional attention to detail and analytical problem-solving skills
- Experience with denial management and appeals processes
- Ability to work independently while collaborating in a fast-paced team environment