Medical billing specialist Jobs in Anaheim, CA

Senior Medical Billing Specialist

Location : SF Bay Area, CA (Onsite – 5 days / week)

Employment Type : Full-Time, Permanent

Compensation : Competitive base salary + annual bonus + full benefits

About the Opportunity

We are partnering with an innovative medical technology and healthcare services organization that supports patients through technology-enabled care programs. This team plays a critical role in managing and optimizing reimbursement across professional medical billing, payer engagement, and revenue cycle operations for outpatient and digitally delivered healthcare services.

This role is ideal for a hands-on, detail-oriented medical billing professional who thrives in end-to-end ownership, payer research, data analysis, and continuous process improvement. You will serve as a key contributor ensuring accurate, compliant, and efficient reimbursement while collaborating closely with cross-functional teams including operations, IT, and finance.

Key Responsibilities

• Perform comprehensive insurance eligibility and benefits verification through direct payer outreach
• Execute the full medical billing lifecycle, including charge entry, claim submission (CMS-1500 / 837), payment posting, AR follow-up, appeals, and denial resolution
• Research and interpret Medicare, Medicaid, and commercial payer policies, translating changes into operational billing practices
• Monitor and analyze accounts receivable aging, reimbursement trends, and denial patterns to identify risks and improvement opportunities
• Generate and maintain billing, reimbursement, and performance reports to support operational and financial decision-making
• Conduct audits and data clean-up initiatives to ensure billing accuracy and regulatory compliance
• Identify and implement strategies to improve first-pass claim acceptance rates and reduce revenue leakage
• Collaborate with internal stakeholders and technology teams to enhance billing workflows, reporting, and system functionality
• Maintain detailed documentation of billing activities, payer communications, and process updates
• Provide billing guidance and training to internal and external partners as needed
• Ensure strict adherence to HIPAA and healthcare billing regulations
• Support invoice distribution, payment tracking, and resolution of billing discrepancies
• Contribute to continuous improvement initiatives across the revenue cycle function

Required Qualifications

What's Offered