Job Description
Join our elite healthcare revenue cycle team as a Senior Medical Biller in sunny Chula Vista! We're seeking an experienced professional to optimize reimbursement processes for high-volume medical practices. Enjoy competitive compensation, comprehensive benefits, and a collaborative environment where your expertise directly impacts patient care and financial sustainability.
Responsibilities
- Accurately code and bill complex medical procedures using CPT, ICD-10, and HCPCS systems
- Manage insurance claim submission and follow-up for multiple payers
- Resolve billing discrepancies and denials through strategic appeals
- Ensure HIPAA compliance and maintain strict patient confidentiality
- Analyze denial trends to recommend process improvements
- Collaborate with clinical staff to ensure accurate documentation
- Generate monthly revenue cycle performance reports
Qualifications
- 5+ years of medical billing experience with commercial insurance
- Certified Professional Biller (CPB) or CPC credential required
- Expertise in Epic or Athena EHR billing modules
- Strong knowledge of California Medicaid (Medi-Cal) guidelines
- Proficient in denial analysis and revenue recovery techniques
- Exceptional attention to detail and problem-solving skills
- Experience with RCM software like Waystar or Change Healthcare