Medical Biller/Collections Specialist

About the role

The nonprofit client is seeking a Medical Billing Specialist to manage medical billing and health information functions related to program-based healthcare and support services. This role is responsible for accurate and timely claims submission, compliance with public and private payer requirements, and maintaining high-quality documentation that supports program operations and financial sustainability.

Responsibilities

• Prepare, submit, and track electronic and paper claims to public and private payers, ensuring accurate coding and required documentation.
• Monitor claim status, resolve denials and underpayments, and resubmit corrected claims as needed.
• Post payments and adjustments, reconcile remittance advice, and maintain accurate billing records.
• Review service notes and encounter documentation for completeness, clarity, and compliance with payer and program standards.
• Communicate with program and administrative staff regarding documentation requirements, billing timelines, and follow-up items.
• Maintain organized and secure electronic records in billing, EHR, and related systems.
• Absorb internal billing audits, quality assurance initiatives, and preparation for external monitoring or reviews.
• Ensure billing practices align with payer, contract, and regulatory requirements, including timely filing limits.
• Support preparation of reports related to service utilization, revenue, and billing activity.
• Protect all client information in accordance with HIPAA and applicable privacy regulations.
• Participate in staff meetings, trainings, and team discussions as needed.

Requirements

• Associate’s degree in Health Information Technology, Healthcare Administration, Billing/Coding, or a related field; or equivalent combination of education and directly related experience.
• At least 2 years of experience in medical billing, preferably including Medicaid/Medi-Cal or other public payer billing.

Qualifications

• Working knowledge of standard billing practices, including CPT/HCPCS and ICD-10 coding.
• Ability to read and interpret payer bulletins, remittance advice, and denial codes.
• High level of accuracy, attention to detail, and follow-through.
• Strong organizational and time-management skills with the ability to manage multiple priorities and deadlines.
• Clear written and verbal communication skills with clinical and non-clinical staff.
• Ability to work independently and collaboratively in a team-oriented environment.
• Proficiency with Microsoft Office or Google Workspace, including word processing, spreadsheets, email, and shared drives.

Skills

• Knowledge of standard billing practices, including CPT/HCPCS and ICD-10 coding.
• Ability to read and interpret payer bulletins, remittance advice, and denial codes.
• High level of accuracy, attention to detail, and follow-through.
• Strong organizational and time-management skills with the ability to manage multiple priorities and deadlines.
• Clear written and verbal communication skills with clinical and non-clinical staff.
• Ability to work independently and collaboratively in a team-oriented environment.
• Proficiency with Microsoft Office or Google Workspace, including word processing, spreadsheets, email, and shared drives.

Benefits

• Medical, vision, dental, and life and disability insurance.
• Access to top jobs, competitive compensation and benefits.
• Free online training.
• Company 401(k) plan.

Pay

$30-$50 per hour

Schedule

Full-Time, Monday–Friday, 8:00 AM–5:00 PM