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MBMS is seeking a Senior Medical Billing Analyst with experience in EPIC to join our Wyomissing, PA team! This is a full-time hybrid position, Monday through Friday 8:00 AM to 4:00 PM. As a Senior Billing Analyst, you will play a crucial role in ensuring accurate, compliant, and efficient medical billing operations for MBMS clients. Leveraging your deep expertise with the EPIC platform, you will optimize workflows, resolve billing challenges, support both internal teams and outsourcing partners, and elevate client satisfaction within the Client Services department. You will directly impact revenue cycle performance and facilitate effective communication between clients, hospital teams, and partners.
Job Responsibility:
Collaborate with internal team and outsourcing partners to establish and optimize EPIC billing workflows
Provide technical feedback and guidance to clients and partners on EPIC processes
Act as a liaison between outsourcing, hospital, and client teams for EPIC-related inquiries
Review, validate, and process medical claims for accurate and timely submission, ensuring regulatory compliance (CPT, ICD-10, HCPCS)
Post a variety of transactions on accounts, including reversals, payments, adjustments, debits, and refunds.
Audit billing transactions, identify errors, and develop corrective solutions
Analyze billing reports, payer trends, and collections data to improve operational effectiveness
Investigate and resolve billing disputes and claim denials, facilitating appeals as needed
Maintain strict confidentiality and adhere to HIPAA, CMS, and all professional ethics and compliance standards
Requirements:
Minimum 3 years of medical billing experience with a strong knowledge of medical billing codes (CPT, ICD, HCPCS), insurance claim cycles, and payer guidelines
Advanced analytical skills with demonstrated ability to interpret and make recommendations on complex data
Excellent communication skills-able to explain technical concepts to various audiences
Proficiency with Microsoft Office Suite (Outlook, Word, Excel)
Demonstrated commitment to professional ethics and patient confidentiality