26 professional medical coder jobs found

Job Description Job Description Remote Medical Biller & Coder (Entry-Level & Experienced) Company: Rooted Talent Solutions Location: Remote (Work From Home) Job Type: Independent Contractor (1099) Schedule: Flexible ???? About the Role Rooted Talent Solutions is actively seeking remote medical billers and coders to join our healthcare support team. This is a remote, independent contractor opportunity involving medical claim processing, coding, and administrative support for healthcare providers. We’re hiring both experienced professionals and motivated individuals looking to enter the field. If you’re detail-oriented, organized, and eager to work from home, this could be the right opportunity for you. ???? Responsibilities Process and submit medical claims accurately and on time Assign appropriate ICD-10, CPT, and HCPCS codes Review documentation for coding compliance Follow up on denied or unpaid claims as needed Communicate with providers,...

Job Description Job Description Description: We are seeking a detail-oriented and knowledgeable Medical Biller to join our medical practice. The ideal candidate will be responsible for managing billing processes, ensuring accurate coding and submission of claims, and maintaining medical records. This role is crucial in facilitating the financial operations of our medical office while ensuring compliance with healthcare regulations. Requirements: Responsibilities Oversees the operations of the billing department, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management Plans and directs patient insurance documentation, workload coding, billing and collections, and data processing to ensure accurate billing and efficient account collection Analyze billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues Follow up on claims using...

4 days ago Be among the first 25 applicants This range is provided by PrismHR. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $24.00/hr - $2,428.00/hr Direct message the job poster from PrismHR Huntington Valley Healthcare Center is a 140-bed facility centrally located in Huntington Beach, CA. We are seeking an experienced Medical Biller with a background in Skilled Nursing Facility (SNF) billing. About the Role Responsibilities Process and submit claims for Skilled Nursing Facility services Manage billing for Cal Optima, Medi-Cal, Medicare, and HMO plans Follow up on claims to ensure timely reimbursement Resolve billing discrepancies and denials Verify patient insurance eligibility and benefits Maintain compliance with industry regulations and payer guidelines Work closely with facility staff and insurance providers to ensure accurate billing Qualifications Must have experience in SNF billing (applications...

Join our dynamic practice in Emeryville and make an impact immediately. We're on the lookout for a talented Medical Biller/Collector to join our team. With a flexible schedule and competitive pay, this is your chance to shine in a fast-paced environment. **Your Role: Medical Biller/Collector Extraordinaire** As a Medical Biller/Collector, you'll be the linchpin of our billing and collections process. Your experience, attention to detail, and proactive approach will help us ensure accurate reimbursements and smooth operations. **What You'll Do:** Master the art of billing, collections, and reimbursement for specific patient accounts. Identify and correct errors in claims, ensuring accuracy and timely processing. Champion the appeals process, fighting for additional benefits on wrongly processed claims. Initiate tracers and engage with insurance companies to secure rightful reimbursements. Handle correspondence regarding balances and updated insurance info. Collaborate with the...

Overview We are seeking an experienced Medical Biller to join our team. This position is involved in all elements of revenue cycle management. Experience with EZDerm, an EHR/Practice Management system, would be an asset. Responsibilities Work with team members in all components of medical billing, accounts receivable management, and collections. Support revenue cycle processes and ensure accurate and timely billing and coding where applicable. Collaborate in a team setting or independently with attention to detail and strong organizational skills. Provide effective customer service in interactions with patients and internal staff. Qualifications Prior training in medical coding and billing is helpful. Experience with EZDerm is a plus. Application Instructions Please include a brief letter of introduction with your resume. #J-18808-Ljbffr

Job Description Job Description SUMMARY: This position is responsible for supporting the Professional Medical Billing team by posting payments, capturing/working denials, and working outstanding accounts receivable (A/R) balances and other assigned duties as needed. They will be responsible for assisting in analysis and resolutions of clinic reimbursement issues, clinical statistics, recommending CDM updates for clinic services and assisting Management with other billing responsibilities as assigned. ESSENTIAL FUNCTIONS : Perform posting charges and completion of claims to payers on time Review transmitted claim via clearing house, working rejected claims as needed Review patient bills for accuracy and completeness, and obtain any missing information Prepare, review, and transmit claims using billing software, including electronic and paper claim processing Follow up on unpaid claims within a standard billing cycle timeframe Check each insurance payment for...

Job Description Job Description Benefits: 401(k) Dental insurance Health insurance Paid time off Vision insurance Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are currently seeking a detail-oriented and dedicated Medical Biller to join our team. In this role, you will be responsible for managing the billing and collection of outstanding account balances for Medi-Cal and managed care payors . You will analyze and interpret complex payor contract language to calculate expected reimbursements accurately and ensure timely collection of all payments owed to the organization. Responsibilities Process medical billing and follow up on claims with Medi-Cal and managed care payors Audit and evaluate clinical documentation and billing records to ensure they are accurate, timely, clinically appropriate, justify medical necessity for Medi-Cal reimbursement, and comply with all State and County...

Millennium Health LLC is an accredited specialty laboratory with more than a decade of experience in medication monitoring and drug testing services, helping clinicians monitor use and misuse of prescription medications and illicit drugs. The testing is used by healthcare professionals to obtain objective information about patients’ recent use of prescription medications and/or illicit drugs and helps monitor the effectiveness of treatment plans. Under general supervision monitors and initiates claim appeals on all insurance claims and pending receivables after final bill. This position will be expected to maintain a comprehensive understanding of general coding and billing compliance, the adjudication process and contractual obligations specific to various payers. The following are intended to be examples of the accountabilities for which the person in this position is responsible. This position is not intended to be complete or all-inclusive and does not preclude management...

Job Description Job Description Benefits: 401(k) Dental insurance Health insurance Paid time off Vision insurance Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Medical Biller to join our team! As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone. Responsibilities Assist clients with processing insurance claims through both private insurance and Medicaid/Medicare Note and process all...

Job Description Job Description Description: This position will perform collections and medical billing for various regional and national payers, including Federal, State, Third Party (HMO, PPO, IPA, TPA Indemnity) and Patient Billing. Qualified candidates must be able to (1) Review accounts for billing accuracy in order to maximize reimbursement. (2) Persuasive and tenacious follow-up on claims status (3) Appeal, and re-bill or forward claims for recalculation and / or adjudication as necessary. Must possess detailed knowledge of all medical benefit levels and have a thorough understanding of Federal, State, PPO, HMO, and Indemnity Plans structure. Must meet or exceed the standard level of performance on assigned accounts. ESSENTIAL RESPONSIBILITIES: • Data entry, correct insurance assignment to patient accounts, insurance eligibility verification. Review/update demographics and patient information for accuracy. • Working knowledge of appropriate coding systems; CPT, ICD-9...

Job Description Job Description First Rescue Ambulance in Irwindale is actively hiring for qualified candidates who have at least two years of ambulance medical billing experience. JOB DUTIES: Process claims for BLS and CCT level ambulance transports Obtaining referrals and pre-authorizations as required Verify insurance eligibility for all patient accounts Knowledge of Medicare and Medicaid Regulations and Billing Guidelines. Basic Knowledge of Commercial, PPO, and HMO Regulations and Billing Guidelines. Respond to inquiries from insurance companies, patients and clients Collection calls and/or correspondence with external clients or patients for payments Ability to assign ICD-10 diagnosis codes Ability to understand EOB to ensure claims are paid according to contractual guidelines Call insurance companies to resolve billing issues. SKILLS REQUIREMENTS: Sound knowledge of medical terminology and billing. Strong analytical and problem-solving skills. Excellent...

Job Description Job Description Benefits: Competitive salary Paid time off Training & development About ZapZzz: ZapZzz is a specialized sleep apnea treatment program with a mission of improving patients overall health and quality of life by providing advanced, patient-centered solutions for sleep apnea. We are committed to excellence in care, professionalism, and compliance while ensuring patients have access to the treatment they need. We are seeking a dedicated and detail-oriented Medical Biller with experience in sleep apnea billing. The ideal candidate will bring both technical expertise and a proactive approach to managing insurance claims, billing processes, and revenue cycle operations. Position Summary: The Medical Biller will be responsible for accurately preparing, submitting, and managing insurance claims related to sleep apnea treatment and oral appliance therapy. This role requires a thorough understanding of insurance verification, billing...

Job Description Job Description Job Summary Medical Biller The Medical Biller reports to the Billing Manager in person at our office in Ontario, CA and is responsible for the accurate, compliant, and timely billing of clinical laboratory services, including blood testing, microbiology/culture testing, and toxicology services. This role requires strong expertise in Medicare Part A vs Part B billing, skilled nursing facility (SNF) workflows, and commercial payer laboratory billing rules. The Medical Biller manages claims from Pending Review through payment resolution while ensuring full compliance with Medicare, Medicaid, and commercial payor regulations. NO remote work available Supervisory Responsibilities None Essential Duties and Responsibilities Laboratory Billing & Claims Management Review laboratory patient demographics, insurance, ordering provider, and facility information. Prepare, review, and submit insurance claims for...

Job Description This role will oversee and complete administrative responsibilities related to medical billing. Key tasks include: Preparing and submitting billing data and medical claims to insurance companies in compliance with federal, state, and payer guidelines Preparing bills and invoices Investigating and resolving billing denials and rejections Completing payor-specific rules and regulations training Ensuring accuracy and compliance throughout the billing process We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability,...

Medical Biller Position We are seeking a skilled and detail-oriented Medical Biller to join our team. In this role, you will be responsible for managing the billing process, ensuring accurate claim submissions, and following up on payments and reimbursements. This remote position is ideal for candidates with experience in medical billing and coding who want to work in a flexible, virtual environment. Key Responsibilities Prepare, review, and submit accurate medical claims to insurance companies or government programs. Verify patient insurance coverage and eligibility for services. Process claims for reimbursement and ensure timely follow-up on denied or unpaid claims. Post payments, adjustments, and reconcile billing statements. Communicate with insurance companies to resolve claim discrepancies, rejections, or denials. Assist patients with billing inquiries and resolve payment issues. Ensure compliance with healthcare regulations and billing standards (e.g., HIPAA,...

Overview First Rescue Ambulance in Irwindale is actively hiring for qualified candidates who have at least two years of ambulance medical billing experience. Responsibilities Process claims for BLS and CCT level ambulance transports Obtaining referrals and pre-authorizations as required Verify insurance eligibility for all patient accounts Knowledge of Medicare and Medicaid Regulations and Billing Guidelines. Basic Knowledge of Commercial, PPO, and HMO Regulations and Billing Guidelines. Respond to inquiries from insurance companies, patients and clients Collection calls and/or correspondence with external clients or patients for payments Ability to assign ICD-10 diagnosis codes Ability to understand EOB to ensure claims are paid according to contractual guidelines Call insurance companies to resolve billing issues. Skills Requirements Sound knowledge of medical terminology and billing. Strong analytical and problem-solving skills. Excellent organizational skills. Effective...

A healthcare organization is seeking a Biller II to handle insurance billing and resolve denials in a full-time role. The successful candidate will have a minimum of 2 years of experience in medical billing, particularly in high dollar collections and adjustments. Responsibilities include preparing claims, ensuring accurate billing practices, and maintaining compliance with medical billing regulations. The candidate should have knowledge of ICD-10 codes, proficiency with Cerner, and strong analytical skills. Competitive compensation and benefits are offered. #J-18808-Ljbffr

Benefits Competitive salary Paid time off Training & development About ZapZzz ZapZzz is a specialized sleep apnea treatment program with a mission of improving patients’ overall health and quality of life by providing advanced, patient-centered solutions for sleep apnea. We are committed to excellence in care, professionalism, and compliance while ensuring patients have access to the treatment they need. Position Summary The Medical Biller will be responsible for accurately preparing, submitting, and managing insurance claims related to sleep apnea treatment and oral appliance therapy. This role requires a thorough understanding of insurance verification, billing codes, compliance guidelines, and patient account management. The Medical Biller will play a critical role in ensuring timely reimbursement and supporting the financial health of the program. Responsibilities Prepare, review, and submit accurate insurance claims for sleep apnea treatments and devices in...

Position Summary We are seeking an experienced Medical Biller with a background in Skilled Nursing Facility (SNF) billing. Candidates must have prior experience in an SNF setting and be proficient in billing Cal Optima, Medi-Cal, and HMO insurances. Essential Duties and Responsibilities Process and submit claims for Skilled Nursing Facility services Manage billing for Cal Optima, Medi-Cal, Medicare, and HMO plans Follow up on claims to ensure timely reimbursement Resolve billing discrepancies and denials Verify patient insurance eligibility and benefits Maintain compliance with industry regulations and payer guidelines Work closely with facility staff and insurance providers to ensure accurate billing Knowledge, Skills, and Abilities Proficiency in billing Cal Optima, Medi-Cal, Medicare, and HMOs Strong knowledge of SNF-specific billing codes and reimbursement processes Familiarity with electronic billing software Strong attention to detail and ability to work independently...

Job Summary This position will perform collections and medical billing for various regional and national payers, including Federal, State, Third Party (HMO, PPO, IPA, TPA Indemnity) and patient billing. Qualified candidates must review accounts for billing accuracy to maximize reimbursement, pursue tenacious follow‑up on claim status, appeal, re‑bill or forward claims for recalculation, and possess detailed knowledge of all medical benefit levels and federal, state, PPO, HMO and indemnity plan structures. Candidates must meet or exceed performance standards on assigned accounts. Essential Responsibilities Data entry and correct insurance assignment to patient accounts, verify insurance eligibility, and review/update demographics and patient information for accuracy. Apply appropriate coding systems (CPT, ICD‑9, HCPCS, coverage, LCD/NCD) and understand reimbursement associated with such codes. Process, validate payer requests and processed claims via correspondence, remittance...

Medical Biller Position We are seeking a skilled and detail-oriented Medical Biller to join our team. In this role, you will be responsible for managing the billing process, ensuring accurate claim submissions, and following up on payments and reimbursements. This remote position is ideal for candidates with experience in medical billing and coding who want to work in a flexible, virtual environment. Key Responsibilities Prepare, review, and submit accurate medical claims to insurance companies or government programs. Verify patient insurance coverage and eligibility for services. Process claims for reimbursement and ensure timely follow-up on denied or unpaid claims. Post payments, adjustments, and reconcile billing statements. Communicate with insurance companies to resolve claim discrepancies, rejections, or denials. Assist patients with billing inquiries and resolve payment issues. Ensure compliance with healthcare regulations and billing standards (e.g., HIPAA,...

ABA Billing Specialist Key Responsibilities: Submit accurate and timely claims for ABA services to private insurance, Medicaid, and other payers Verify insurance eligibility and benefits for new and existing clients Track and follow up on unpaid or denied claims; initiate appeals as needed Manage authorizations, re-authorizations, and documentation requirements for ongoing services Reconcile payments, post EOBs, and generate client invoices as needed Maintain compliance with HIPAA, payer guidelines, and ABA-specific billing codes (e.g., CPT 97151, 97153, 97155) Collaborate with BCBAs, administrative staff, and families to resolve billing issues and ensure smooth revenue cycle operations Requirements: 2+ years of medical billing experience, with a strong focus on ABA or behavioral health services Proficiency in billing software and clearinghouses (e.g., CentralReach, Office Ally, Kareo, SimplePractice) In-depth knowledge of ABA billing codes, modifiers, and...

HRC Fertility Clinic and Klassic Recruiting have partnered together in a search for a Charge Poster / Medical Data Entry role in Pasadena, California. Work Expectations : Excellent communication and organizational skills; ability to interface with the team members, nurses, physicians, patients and managers. Work Schedule : 80 hours per pay period, 8-hour workday Job Description Note: This document is intended to describe the general nature and level of work performed. It is not intended to serve as an exhaustive list of all duties, skills, and responsibilities required of personnel so classified. JOB FUNCTIONS AND RESPONSIBILITIES: Adhere to HRC Policies and Procedures. Perform the charge entry of Superbills for the various offices as assigned by the Billing Supervisor. Perform reconciliation of billed services. Assist the Billing Supervisor in conducting any research projects, audits and any other special projects. Other duties as assigned which may include...

Job Description Job Description 1–3 years in hospital accounts receivable, medical collections follow up, or healthcare collections. Knowledge of hospital billing processes, CPT/ICD codes, and DRG reimbursement. Familiarity with payer guidelines such as Medicare, Medi-Cal and commercial payers Strong communication skills for payer interactions. Proficiency in hospital billing and follow up systems and Microsoft Office. Attention to detail and ability to analyze claim denials and payment variances. Review hospital accounts receivable aging reports and prioritize collection efforts. Company Description Over the years, we have served hundreds of employers, ranging from start-ups to Fortune 500 firms, and we have helped nearly 30,000 people to find rewarding employment. We are a temporary, temp to hire and Direct Hire Staffing Firm that exceed expectation's!. Today, we are Staffing Resolutions, an organization providing consulting, training, recruiting and staffing services to...