Medical Billing Specialist

We are looking for a Medical Billing Specialist to join a clinic-based team in California in a contract-to-permanent capacity. This position is best suited for someone who can manage core billing activities with accuracy, stay organized while tracking claim outcomes, and communicate effectively across the revenue cycle process. The role focuses on timely claim handling, denial follow-up, and payment resolution, with opportunities to support billing needs across multiple specialties in an onsite clinical setting.

Responsibilities:

• Prepare and submit medical claims accurately and within established timelines to support steady reimbursement.
• Track claim progress after submission and take appropriate action to address delays, rejections, or unpaid balances.
• Investigate denied claims, identify root causes, and complete the necessary corrections or follow-up steps for resolution.
• Manage collection efforts related to outstanding accounts by reviewing unpaid claims and pursuing reimbursement updates.
• Review billing details for completeness and confirm transmissions through clearinghouse platforms.
• Process and examine CMS-1500 claim forms to help maintain compliant and consistent billing practices.
• Assist with routine revenue cycle tasks, including documentation review and basic billing support activities.
• Contribute to billing operations for multiple medical specialties as workload demands shift across the clinic.
• At least 1 year of medical billing experience is preferred, though entry-level candidates with relevant billing or coding training are encouraged to apply.
• Working knowledge of medical claim submission processes and common reimbursement workflows.
• Familiarity with denial handling, claim follow-up, and collections activity tied to unpaid or rejected claims.
• Experience using Epic or a comparable Epic-based billing platform is preferred.
• Basic understanding of clearinghouse functions and electronic claim transmission methods.
• Knowledge of CMS-1500 forms and their use in medical billing.
• Ability to work onsite in Alviso, California and manage tasks with strong attention to detail.
• Multi-specialty billing exposure is a plus.