Job Description
Apex Medical Billing Solutions is seeking a highly skilled and detail-oriented Medical Billing Specialist to join our growing team in Stockton, CA. We are dedicated to streamlining healthcare revenue cycles and ensuring our providers are compensated for the excellent care they deliver. If you have a passion for healthcare administration and possess exceptional analytical skills, we want to hear from you.
In this role, you will be responsible for managing the entire billing process, from verifying patient insurance to submitting claims and resolving denials. You will work closely with our clinical staff to ensure accuracy and compliance with healthcare regulations.
Why Join Us?
Competitive pay ($22-$35/hr).
Comprehensive health benefits.
Professional development opportunities.
A supportive and collaborative work environment.
Responsibilities
- Claims Management: Accurately code and submit medical claims to insurance carriers (Commercial, Medicaid, Medicare) using EMR systems such as Epic or AthenaHealth.
- Denial Management: Monitor claim status, identify denial reasons, and appeal rejected claims to maximize revenue recovery.
- Patient Billing: Generate monthly statements, verify patient financial responsibility, and collect outstanding balances professionally.
- Insurance Verification: Verify patient insurance eligibility and benefits prior to services to prevent claim rejections.
- Compliance: Maintain strict adherence to HIPAA regulations and internal compliance policies.
- Reporting: Generate and analyze billing reports to identify trends and areas for operational improvement.
- Communication: Communicate effectively with patients, insurance providers, and internal staff regarding billing inquiries.
Qualifications
- Education: High school diploma or GED required; Associate’s degree in Medical Billing, Coding, or Healthcare Administration preferred.
- Certification: CPC, COC, or CPC-P certification from the AAPC or AHIMA is highly preferred.
- Experience: Minimum of 2-3 years of experience in medical billing and claims processing.
- Technical Skills: Proficiency with EMR software (Epic, AthenaHealth, Cerner) and practice management systems.
- Knowledge: Strong understanding of ICD-10, CPT, and HCPCS coding guidelines.
- Attention to Detail: Exceptional attention to detail with a focus on accuracy in data entry and processing.
- Soft Skills: Strong problem-solving abilities and excellent interpersonal communication skills.