Job Description
Join our elite healthcare finance team as a Senior Medical Biller in Riverside, CA. We're seeking a detail-oriented professional with expertise in complex medical coding and revenue cycle optimization. This high-impact role offers competitive compensation, comprehensive benefits, and opportunities for career growth in a thriving medical community.
Responsibilities
- Process and submit clean claims to insurance payers with 95%+ accuracy
- Conduct thorough claim audits and denial management
- Optimize revenue cycle through strategic coding (ICD-10, CPT, HCPCS)
- Collaborate with clinical teams for documentation improvement
- Ensure HIPAA and regulatory compliance in all billing processes
- Analyze aging reports and implement collection strategies
Qualifications
- 5+ years of medical billing experience in specialty clinics
- Certified Professional Biller (CPB) or CPC credentials required
- Expert knowledge of Medicare/Medicaid/Commercial payer guidelines
- Advanced proficiency in Epic or Athenahealth EHR systems
- Strong analytical skills with data interpretation abilities
- Proven track record of reducing AR days by 20%+