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We are seeking a detail-oriented Medical Biller / Collections Specialist to support the revenue cycle operations of a healthcare organization in Berkeley. This role is responsible for insurance billing, accounts receivable follow-up, denial management, and collections activities to ensure timely reimbursement and account resolution. The ideal candidate has experience working with commercial insurance, Medicare, Medi-Cal, and managed care plans, along with a strong understanding of medical billing and collections processes. This contract opportunity is well suited for a results-driven professional who enjoys investigating claims, resolving payment issues, and improving revenue cycle performance.
Job Responsibility
Submit, review, and process medical claims while ensuring compliance with payer requirements, coding guidelines, and billing regulations
Manage accounts receivable follow-up by researching unpaid claims, identifying denial trends, and pursuing timely reimbursement from insurance carriers
Resolve claim denials, rejections, underpayments, and billing discrepancies through appeals, corrections, and payer communication
Post insurance and patient payments, reconcile accounts, and maintain accurate documentation within billing and practice management systems
Communicate with patients, providers, insurance representatives, and internal departments regarding account balances, payment arrangements, and billing inquiries
Requirements
3-4+ years of experience in medical billing, collections, accounts receivable, or revenue cycle management within a healthcare setting
Strong knowledge of insurance claims processing, denial management, appeals, payment posting, collections, and accounts receivable follow-up
Working knowledge of CPT, ICD-10, HCPCS codes, EOBs, Medicare, Medi-Cal, and commercial insurance plans
Proficiency with EMR/EHR and practice management systems, along with Microsoft Office Suite, particularly Excel
Excellent analytical, problem-solving, communication, and organizational skills with strong attention to detail
Nice to have
Certified Professional Biller (CPB) or related healthcare billing certification
Experience in specialty clinics, physician groups, hospital systems, or community health centers
Familiarity with Epic, Athenahealth, NextGen, eClinicalWorks, Kareo, or similar healthcare software
Proven track record of reducing aging accounts receivable and increasing collections performance