Job Description
Join our award-winning healthcare team as a Senior Medical Biller at Central Valley Health Partners. We're seeking a detail-oriented professional to streamline revenue cycle operations for our 15-clinic network. Enjoy competitive compensation, comprehensive benefits, and opportunities for career advancement in Fresno's growing healthcare sector. Apply today to become part of our patient-first culture!
Responsibilities
- Process and submit clean claims to insurance companies with 95%+ accuracy
- Manage denial resolution and appeals processes for complex cases
- Conduct thorough insurance verification and patient financial counseling
- Ensure compliance with HIPAA, CMS, and California billing regulations
- Collaborate with clinical teams to document services accurately
- Generate monthly reports on A/R aging and key performance metrics
Qualifications
- 3+ years of medical billing experience in a multi-specialty clinic
- Certified Professional Biller (CPB) or CPC certification required
- Expert knowledge of CPT, ICD-10, and HCPCS coding systems
- Proficiency in Epic or NextGen EHR platforms
- Strong analytical skills for identifying billing discrepancies
- Excellent written and verbal communication abilities
- Experience with Medicaid/Medicare and commercial insurance plans