Job Description
Join our award-winning healthcare team as a Senior Medical Biller in sunny Riverside, CA! We're seeking a meticulous professional to optimize revenue cycle operations for our prestigious medical group. Enjoy competitive compensation, comprehensive benefits, and a collaborative environment where your expertise directly impacts patient care quality. Apply today to elevate your career in one of California's fastest-growing healthcare markets!
Responsibilities
- Accurately code and submit medical claims using CPT, HCPCS, and ICD-10 protocols
- Manage denial resolution with 95%+ first-pass success rate
- Conduct comprehensive insurance eligibility verification for complex cases
- Collaborate with physicians and coding teams to ensure documentation compliance
- Analyze aging reports to optimize accounts receivable cycles
- Implement revenue enhancement strategies through claim scrubbing
- Maintain HIPAA-compliant patient data systems
Qualifications
- 5+ years of medical billing experience in multi-specialty environments
- Certified Professional Biller (CPB) or CPC credential required
- Expertise in CMS-1500 and UB-04 claim forms
- Proficiency with Epic or EHR revenue cycle modules
- Advanced knowledge of Medicare/Medicaid commercial payers
- Proven track record of reducing denial rates by 25%+
- Strong analytical skills with attention to detail
- BS in Healthcare Administration or related field preferred