Job Description
Join Nevada Health Solutions as a Senior Medical Biller and elevate your career in Las Vegas' thriving healthcare sector. We're seeking a meticulous professional to optimize revenue cycles while ensuring compliance with complex healthcare regulations. This premium role offers competitive compensation, comprehensive benefits, and opportunities for career advancement in a dynamic environment.
Our ideal candidate will drive financial accuracy through precise coding and claims management while collaborating with interdisciplinary teams. If you're passionate about healthcare finance and ready for a high-impact role, apply today to join our award-winning team.
Responsibilities
- Process and submit clean medical claims to insurance payers with 95%+ accuracy
- Conduct comprehensive insurance verification and pre-authorization procedures
- Resolve claim denials and billing discrepancies through systematic appeals
- Maintain compliance with HIPAA, CMS, and payer-specific regulations
- Analyze aging reports and implement strategies to reduce A/R days
- Train junior billers on coding best practices and revenue cycle workflows
- Leverage Epic EHR systems for real-time claim tracking and data analysis
Qualifications
- 5+ years of medical billing experience in a multi-specialty clinic or hospital setting
- Certified Professional Biller (CPB) or CPC certification required
- Expertise in CPT, ICD-10-CM, and HCPCS coding systems
- Proven success in reducing claim denials by 30%+
- Advanced knowledge of Nevada Medicaid and Medicare guidelines
- Proficient in NextGen and Epic EHR billing modules
- Strong analytical skills with attention to financial detail
- Bachelor's degree in Healthcare Administration or related field preferred