Description We are looking for a Medical Biller and Collections specialist to support a non-profit healthcare organization in Oakland, California. This Long-term Contract position is ideal for someone with strong coding and billing experience who can help maintain accurate claims processing, reimbursement follow-up, and compliant outpatient documentation practices. The right candidate will bring a solid understanding of medical coding standards and work closely with billing operations to improve timely payment and account resolution.
Responsibilities:
- Review clinical and billing documentation to assign accurate medical codes for outpatient services using ICD-10 and CPT guidelines.
- Prepare and submit claims with careful attention to coding accuracy, payer requirements, and supporting documentation.
- Monitor unpaid balances and take prompt action to investigate denials, underpayments, and outstanding reimbursement issues.
- Work within Epic hospital billing tools to update account details, track claim status, and maintain complete billing records.
- Partner with internal teams to resolve coding discrepancies and support clean claim submission across healthcare billing workflows.
- Follow up with insurance carriers and other payers to secure payment, clarify claim issues, and advance collection efforts.
- Maintain compliance with coding standards, billing regulations, and organizational policies related to revenue cycle activities. If you are interested in the role, please apply today and call us back at (510) 470-7450 Requirements
- At least 2 years of experience in medical billing, collections, coding, or a closely related healthcare revenue cycle role.
- Practical knowledge of ICD-10 and CPT coding for outpatient services.
- Experience handling medical billing processes, including claim review, submission, and payment follow-up.
- Familiarity with billing and account management in Epic hospital billing or a comparable healthcare system.
- Understanding of payer guidelines, denial resolution, and collection procedures within a healthcare setting.
- Certified coding credentials or equivalent demonstrated coding expertise preferred.
- Strong attention to detail, accuracy, and organization when managing documentation and financial records.
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