Professional Medical Billing Manager

7 days ago


Sunnyvale, California, United States IntelliPro Group Inc. Full time
About the Role

We are seeking a highly skilled Medical Billing Specialist to join our team at IntelliPro Group Inc.

This is a full-time, onsite position in Sunnyvale, CA, offering a competitive salary and performance-based bonuses.

Job Summary

The ideal candidate will have extensive experience in medical billing, a deep understanding of coding practices, and the ability to identify and implement strategies to enhance revenue capture.

  • Manage the end-to-end billing process for Remote Patient Monitoring (RPM), Chronic Care Management (CCM), and Medical Nutrition Therapy (MNT) services.
  • Validate patient benefits and verify insurance eligibility by contacting insurance providers.
  • Ensure compliance with all Medicare, State programs, HMO/PPO regulations and guidelines.
  • Conduct thorough follow-ups with insurance companies to resolve outstanding claims and denials.
Responsibilities and Duties

The selected candidate will be responsible for managing the complete billing workflow, from validating claims and following up on denials to generating revenue reports. They will analyze revenue reports, identify trends related to errors, and work to improve revenue cycle performance.

  • Analyze revenue reports to identify trends related to errors and opportunities for growth.
  • Collaborate with internal teams to streamline billing workflows and enhance system efficiencies.
  • Prepare and analyze reports for key stakeholders, highlighting financial health and opportunities for growth.
Requirements and Qualifications

To succeed in this role, you must possess a Bachelor's degree in Accounting, Healthcare Administration, Finance, Business, or a related field, and 8+ years of experience in a healthcare billing or related field.

  • Bachelor's degree in Accounting, Healthcare Administration, Finance, Business, or a related field.
  • 8+ years of experience in a healthcare billing or related field.
  • Strong knowledge of CPT, ICD-10, HCPCS codes, and experience using EHR systems like EPIC, Kareo, eCW, Athena, and others.
Benefits and Perks

We offer a comprehensive benefits package, including competitive salary, performance-based bonuses, health, dental, and vision insurance, flexible work schedule, access to state-of-the-art healthcare software and technology, and opportunities for professional development and certifications in medical billing and coding.

The estimated annual salary for this position is $90,000-$100,000 based on location and experience.



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