Medical Biller/Collector

Key Responsibilities

• Supervise, coach, and develop a team of 5–10 Billing & Collections Representatives
• Maintain team performance, productivity, and accounts receivable metrics
• Track, trend, and analyze A/R performance to identify collection opportunities and process improvements
• Timely follow-up and resolution of outstanding physician and medical claims
• Support collection efforts involving commercial insurance, Medicare, Medi-Cal, and patients
• Utilize payer portals to research claim status, denials, underpayments, and reimbursement issues
• Maintain billing accuracy and compliance with payer requirements
• Partner with internal departments to resolve complex billing and collection issues
• Provide guidance on government payer regulations and reimbursement practices
• Maintain department procedures and support continuous process improvement initiatives

Required Qualifications

• 5+ years of healthcare billing and collections experience
• 3–5 years of supervisory or leadership experience within revenue cycle operations
• Strong background in professional billing and collections
• Minimum 3 years of experience working with Medicare and Medi-Cal claims
• Experience managing accounts receivable and collection activities
• Familiarity with payer portals and claims research tools
• Experience using EPIC or similar revenue cycle management systems
• Strong communication, problem-solving, and leadership skills

Preferred Qualifications

• Experience within a hospital, physician group, academic medical center, or large healthcare organization
• Knowledge of denial management and reimbursement processes
• Proven ability to improve collection performance and operational efficiency