6 cpb certified professional biller jobs found in San Diego, CA

Job Description Job Description Summary The Medical Biller for Cal AIM Services is responsible for accurately billing and processing claims for Enhanced Care Management (ECM), Recuperative Care, Community Supports (CS), detox billing, and other Cal AIM-related services. This role ensures timely claim submission, compliance with DHCS and Managed Care Plan (MCP) requirements, and effective coordination with clinical, administrative, and data teams to support revenue integrity. Essential Functions Prepare, submit, and track claims for ECM, Recuperative Care, Community Supports, detox billing, and other Cal AIM service lines. Verify eligibility and authorization requirements for all Cal AIM beneficiaries. Ensure documentation meets Cal AIM billing standards, including encounter data, activity logs, and service notes. Reconcile encounters and claims to identify discrepancies or missing documentation. Process claims corrections, resubmissions, and voids as needed....

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...

A leading healthcare institution in San Diego is seeking a Government Biller who will work a remote or hybrid schedule. The role involves managing the full range of billing duties within the revenue cycle, requiring expertise in insurance claims processing, follow-up, and medical coding. Candidates should have a strong understanding of Medi-cal Managed Care contracts and proficiency with electronic medical record systems such as Epic. This position offers a competitive salary range of $61,116 - $75,982 annually. #J-18808-Ljbffr

Job Description Job Description Benefits: 401(k) Dental insurance Employee discounts Health insurance Paid time off We are seeking a an experienced Medical Biller to join our team! This position is involved in all elements of revenue cycle management. We utilize an EHR/Practice Management system called EZDerm and experience with this software would be an asset. You will be working with other team members in all components of medical billing and AR management and collections. The ability to work in a team setting as well as independently with attention to detail, strong organizational abilities and effective customer service skills would be ideal qualifications. Prior training in medical coding and billing is helpful. Please include a brief letter of introduction with your resume.

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

Tri-City Healthcare District (TCMD) in Oceanside, CA is an equal‑opportunity employer committed to diversity and inclusion. We are seeking a Medical Biller/Collector to support our medical billing and collections functions. Position Summary The medical biller/collector is responsible for timely submission of claims to insurance companies from a wide variety of medical providers and facilities, monitoring payments, and ensuring that all services are paid promptly. The role serves as an intermediary among health care providers, patients, and insurance companies. Major Responsibilities Maintain a safe, clean working environment, adhering to unit safety and infection control requirements. Review patient bills for accuracy and completeness; obtain missing information. Identify and bill secondary or tertiary insurances. Use electronic health record (EHR) systems to perform billing duties; maintain accurate, legally compliant medical records. Process claims, apply payments, and...