Job Description
Are you an experienced Medical Biller looking to advance your career in a dynamic healthcare environment? Apex Revenue Management is expanding our Raleigh, NC team and is offering a $5,000 Sign-On Bonus for qualified candidates. We are seeking a detail-oriented professional to oversee our revenue cycle operations and ensure accurate claim submissions.
Join a company that values precision, integrity, and innovation. As a Medical Biller, you will play a critical role in maintaining the financial health of our partner facilities by managing the billing process from start to finish. We offer a competitive benefits package, continuous training opportunities, and a collaborative work culture.
Responsibilities
- Verify and Enter Patient Information: Accurately input and verify patient demographics and insurance information to ensure seamless billing cycles.
- Claim Submission & Management: Submit claims to insurance payers (commercial, Medicaid, Medicare) electronically and manually, ensuring compliance with current coding guidelines (ICD-10, CPT).
- Denial Management: Analyze denied or rejected claims, identify root causes, and resubmit or appeal denied claims to maximize reimbursement.
- Accounts Receivable (AR) Follow-Up: Monitor outstanding accounts receivable, send statements, and communicate with patients and payers to collect payments.
- Compliance & Documentation: Maintain accurate medical records and ensure all billing practices comply with HIPAA regulations and internal compliance standards.
- Reporting: Generate and review monthly reports to track key performance indicators (KPIs) such as Days Sales Outstanding (DSO) and denial rates.
Qualifications
- Education: High school diploma or GED required; Associate degree in Medical Billing, Health Information Technology, or a related field preferred.
- Certification: CPC, CPC-A, CRC, RHIT, or RHIA certification is highly preferred.
- Experience: Minimum of 2-3 years of experience in medical billing, medical coding, or health claims processing.
- Technical Skills: Proficiency with Epic, Cerner, or Athenahealth EMR systems; strong knowledge of clearinghouse processes.
- Attention to Detail: Exceptional ability to detect errors in data entry and coding to prevent revenue leakage.
- Communication: Excellent verbal and written communication skills for interacting with patients, insurance representatives, and internal staff.