Job Description
Join our dynamic healthcare team in Santa Ana, CA! We're urgently seeking a skilled Medical Biller to ensure accurate revenue cycle management and optimize patient billing processes. This critical role requires precision, expertise in medical coding, and a passion for healthcare administration. Enjoy competitive compensation, comprehensive benefits, and a supportive environment. Apply today to make an immediate impact!
Responsibilities
- Process and submit clean claims to insurance companies and government payers
- Verify patient eligibility and benefits before service rendering
- Appeal denied claims and resolve billing discrepancies
- Maintain compliance with HIPAA, CMS, and payer regulations
- Utilize EHR systems (e.g., Epic, Cerner) for billing documentation
- Conduct regular audits to ensure coding accuracy (ICD-10, CPT, HCPCS)
- Collaborate with clinical teams to clarify coding ambiguities
- Generate monthly reports on denial rates and collection efficiency
Qualifications
- 3+ years of medical billing experience in a healthcare setting
- Certification (CPC, CPC-A, or CCS) preferred
- Expertise in ICD-10, CPT, and HCPCS coding systems
- Proficiency with billing software (e.g., AdvancedMD, Athenahealth)
- Strong knowledge of insurance claim processes and reimbursement rules
- Exceptional attention to detail and analytical skills
- Ability to prioritize tasks in a fast-paced environment
- Associate degree in Health Information Management or related field