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Medical Biller and collections
Job
Robert Half
Fremont, CA (In Person)
Full-Time
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Job Description
We are looking for an experienced Medical Biller and collections specialist to support coding accuracy, reimbursement follow-up, and account resolution for outpatient services in Fremont, California. This Long-term Contract position is ideal for someone with a strong background in medical coding and collections who can manage claims activity with precision while helping maintain steady revenue cycle performance. The role requires close attention to encounter documentation, payer requirements, and timely collection efforts across insurance, commercial, and patient accounts.
Responsibilities:
- Review outpatient encounters and related documentation to assign accurate medical codes using current ICD-10 and CPT guidelines.
- Prepare, evaluate, and correct claim details to support clean submission and reduce billing errors or payment delays.
- Follow up on outstanding balances with commercial insurers, workers' compensation carriers, and patients to drive timely account resolution.
- Investigate denials, underpayments, and rejected claims, then take appropriate action to secure reimbursement.
- Maintain complete and organized encounter forms and billing records to support coding integrity and audit readiness.
- Communicate with internal teams and external payers to clarify coding, billing, and collection issues affecting payment status.
- Monitor aging accounts and prioritize collection activity based on payer response, account history, and reimbursement potential.
- Apply certified coding knowledge to ensure services are documented and billed in accordance with regulatory and payer standards.