Job Description
Are you a detail-oriented professional seeking a high-paying career in the healthcare industry?
Apex Healthcare Solutions is currently recruiting an experienced Medical Biller to join our fast-paced revenue cycle team in Reno, NV. We pride ourselves on operational excellence and are looking for a dedicated professional to ensure our billing processes are seamless and our reimbursements are maximized.
As a key member of our team, you will manage the full revenue cycle, from claim submission to final payment, ensuring compliance with HIPAA and insurance regulations.
Responsibilities
- Review and verify patient insurance eligibility and benefits to prevent claim denials.
- Accurately code and submit medical claims to commercial payers, Medicare, and Medicaid using AdvancedMD and Epic systems.
- Monitor accounts receivable (AR) and follow up on outstanding claims within 24-48 hours to ensure timely reimbursement.
- Analyze denied claims to identify root causes and implement corrective actions.
- Communicate effectively with insurance carriers and patients to resolve billing discrepancies and payment issues.
- Maintain strict confidentiality and adhere to all HIPAA compliance standards.
- Participate in monthly revenue cycle reviews and process improvement initiatives.
Qualifications
- Certification as a CPC (Certified Professional Coder) or CBCS (Certified Billing and Coding Specialist) is highly preferred.
- Minimum of 3 years of experience in medical billing, claims adjudication, or revenue cycle management.
- Strong working knowledge of CPT, ICD-10, and HCPCS coding guidelines.
- Proficiency with EMR/EHR software (AdvancedMD, Epic, or Athenahealth experience required).
- Excellent analytical skills with a high degree of attention to detail to minimize error rates.
- Strong interpersonal skills for resolving patient billing inquiries and negotiating payment plans.