Job Description
Join MediCare Solutions Inc., a leading healthcare provider in San Francisco, as our Senior Medical Biller. We're seeking a meticulous professional to ensure accurate reimbursement processing and optimize revenue cycle management. Enjoy competitive compensation, comprehensive benefits, and a collaborative work environment in the heart of the Bay Area.
Responsibilities
- Process complex medical claims across multiple insurance payers with 99% accuracy
- Conduct thorough claim audits and resolve billing discrepancies within 48 hours
- Analyze EOBs and denials to identify trends and implement corrective actions
- Collaborate with clinical teams to ensure proper CPT/ICD-10 coding compliance
- Maintain HIPAA-compliant patient records and billing documentation
- Generate monthly revenue reports for departmental performance analysis
- Train junior billing staff on industry regulations and best practices
Qualifications
- 3+ years of medical billing experience with commercial and government payers
- Certified Professional Biller (CPB) or CPC certification required
- Expertise in Epic EMR and NextGen billing systems
- Advanced knowledge of CPT, HCPCS, and ICD-10 coding protocols
- Proven track record in reducing claim denial rates by 15%+
- Strong analytical skills with proficiency in Excel and data visualization tools
- Exceptional communication abilities for resolving complex payment issues