Medical Biller

Billing Specialist

We have partnered with a client in San Jose who is seeking a Billing Specialist who can start immediately! This position is looking to convert from contract to full time depending on performance.

Responsibilities :

Prepare and submit electronic and paper claims to insurance companies, government programs, and third-party payers.

Review patient bills for accuracy and completeness before submission.

Verify patient insurance coverage and obtain necessary pre-authorizations or referrals.

Follow up on unpaid or denied claims; research and resolve billing discrepancies.

Post payments, adjustments, and denials to patient accounts.

Generate patient statements and respond to billing inquiries.

Maintain patient confidentiality and comply with HIPAA regulations.

Communicate with insurance companies, patients, and healthcare providers to resolve billing issues.

Maintain up-to-date knowledge of billing guidelines, payer policies, and coding changes (ICD-10, CPT, HCPCS).

Prepare and submit billing reports and reconcile accounts as needed.

Requirements :

Strong understanding of medical billing procedures and insurance claim processes.

Proficiency in medical billing software (e.g., Epic, Kareo, AdvancedMD) and electronic health records (EHR).