Medical Biller w/ California Insurance Experience (Bilingual Spanish - English)
Core
Full-cycle medical billing specialist handling claims, payments, and denials for California healthcare providers.
Role type
Senior medical biller (full-cycle)
Builds
Cleaned claims and resolved accounts receivable for healthcare providers
Domain
U.S. Healthcare / Medical Billing
Required skills
ICD-10 coding, CPT coding, claim submission, payment posting, A/R management, denial management, prior authorization processing, insurance verification, payer portal navigation, medical necessity documentation
Preferred skills
IPA billing experience, Primary Care/ENT specialty knowledge, DrChrono EHR proficiency
Responsibilities
Manage full-cycle billing from claim creation to payment resolution, submit claims using ICD-10/CPT codes, post payments and reconcile accounts, manage denial appeals and resubmissions, verify insurance eligibility and process prior authorizations, navigate payer portals like Availity, support front-office patient intake and inquiries, ensure compliance with medical necessity requirements, collaborate with providers to resolve billing discrepancies
Seniority
Mid-level, hands-on IC