Medical Billing Specialist

We are seeking an experienced and highly skilled Medical Biller with a strong background in patient collections, insurance payment posting, and professional billing to join our team. The ideal candidate is detail-oriented, organized, and confident when discussing balances and payment arrangements with patients.

This position requires strong insurance knowledge, experience with professional and hospital-based claims, and advanced computer proficiency—particularly in NextGen and/or eClinicalWorks.

Responsibilities

• Manage and follow up on patient balances and aging accounts receivable
• Perform patient collections and establish payment arrangements
• Post insurance payments (EOBs/ERAs) and patient payments accurately and timely
• Prepare, balance, and reconcile daily bank deposits
• Verify insurance eligibility and benefits (HMOs, PPOs, Medi-Cal, and Medicare)
• Submit and manage professional claims, including hospital-based services
• Work and resolve denied or rejected claims
• Communicate with insurance carriers regarding claim status and payment issues
• Respond to patient inquiries regarding statements and balances
• Maintain accurate documentation within the practice management system
• Assist with month-end reconciliation and reporting as needed

Qualifications

• Minimum 3+ years of medical billing experience required
• Strong knowledge of Medi-Cal, Medicare, HMOs, and PPOs
• Experience with professional billing and hospital-based claims
• Experience billing for medical specialists preferred
• Proven experience posting insurance payments and reconciling deposits
• Experience verifying insurance eligibility and benefits
• Strong computer skills required
• Proficiency in Microsoft Excel (sorting, filtering, basic formulas)
• Hands-on experience with NextGen and/or eClinicalWorks (eCW) strongly preferred
• Excellent verbal and written communication skills (comfortable speaking with physicians, patients, insurance representatives, and billing staff daily)
• Spanish speaking preferred

Skills & Attributes

• Strong attention to detail and accuracy
• Excellent organizational and follow-up skills
• Ability to manage high-volume accounts efficiently
• Professional and confident when discussing financial matters
• Dependable, self-motivated, and team-oriented

Compensation: Competitive and based on experience

Pay: $24.00 - $27.50 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Work Location: In person