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Billing & Collections Representative II

United States, San Diego 23.10 - 31.77 USD / Hour · Job Posted March 21, 2026
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Job Description

Under the direction of the Manager Professional Billing & Coding, the Billing & Collections Representative II (BCII) is responsible for the resolution of all outstanding balances from all payors, including but not limited to; Commercial, Medi-Cal and Managed Care professional claims.

Job Responsibility

  • Resolution of all outstanding balances from all payors
  • Checking status of unpaid claims by telephone, websites and/or any other means available
  • Provide all necessary documentation required from payors to ensure accurate adjudication of claim for reimbursement
  • Process claims correctly following contractual arrangements
  • Accurately analyze each denial received by reviewing the patient acct, the remittance codes from Explanation of Benefits (EOB) and Remittance Advice (RA)
  • Review CCI or payor specific coding edits and take necessary steps to send a corrected claim or appeal
  • Report all problematic payor trends to leadership
  • Daily processing of assigned work queues
  • Review payor/clearing house rejections and making necessary corrections
  • Follow federal, state, and local regulatory collection guidelines as well as department and payor specific billing guidelines

Requirements

  • H.S. Diploma,GED,or Equivalent
  • 2 Years of Experience
  • Must possess some medical billing experience.
  • A certificate of completion from a medical billing course can be substituted for 1 year of experience

Nice to have

  • 3 Years of Experience
  • EPIC experience a plus

What we offer

  • Medical, Dental, Vision, Life, Pet insurance
  • Retirement Plan
  • Tuition Assistance
  • Wellness program

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