Job Description
Join our award-winning healthcare team in sunny San Diego! We're seeking a meticulous Medical Biller to ensure accurate revenue cycle management for our network of prestigious medical providers. This direct-hire role offers competitive benefits, flexible scheduling, and opportunities for career advancement within a thriving healthcare ecosystem.
Why join us? • Industry-leading training programs • Comprehensive health/dental/vision insurance • 401(k) with employer match • Paid time off and holidays • Modern, collaborative workspace • Proximity to San Diego's top attractions
Responsibilities
- Process and submit clean claims to insurance payers (Medicare, Medicaid, commercial plans)
- Verify patient eligibility, benefits, and coverage details
- Denial analysis and appeals management with 95% resolution rate
- Maintain compliance with HIPAA, CMS, and payer regulations
- Reconcile EOBs and patient accounts daily
- Collaborate with clinical teams to resolve coding discrepancies
- Generate monthly revenue cycle reports for leadership
Qualifications
- 3+ years of medical billing experience in a clinic/hospital setting
- Certified Professional Biller (CPB) or CPC credential preferred
- Expertise in ICD-10, CPT, and HCPCS coding systems
- Advanced knowledge of payer policies (Blue Cross, UnitedHealthcare, etc.)
- Proficiency in Epic, Athenahealth, or similar EHR platforms
- Exceptional attention to detail with <1% error rate
- Strong analytical skills for complex claim resolution