15 medical biller jobs found in Carlsbad, CA

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...

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...

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...

Benefits 401(k) matching Bonus based on performance Competitive salary Employee discounts Health insurance Opportunity for advancement Paid time off 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 our patients to answer questions related to billing, collections, processing all forms needed for insurance billing purposes, and collecting necessary documentation from patients and staff. You will also assist members of our medical practice with follow‑up inquiries from clients, communicate with our physicians to obtain necessary information to accurately process the billing and to provide suggestions on correct coding to charge procedures accordingly. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable addressing billing collections issues by phone. Computer...

Controller – MEDICAL BILLER – Healthcare Revenue Cycle | CPA Preferred In‑Office | Newport Beach, CA ProMedix Health is seeking an experienced controller with healthcare accounting and revenue‑cycle expertise to lead financial operations across our rapidly expanding multi‑state telehealth organization. This is a hands‑on, high‑visibility leadership role working directly with the CFO and CEO. Responsibilities Lead full‑cycle accounting, month‑end close, reconciliations, and financial reporting. Oversee Medicare, Medicare Advantage, commercial, and cash‑pay revenue recognition. Manage medical billing and revenue‑cycle financial oversight. Analyze claims, denials, A/R, collections, and reimbursement trends. Support audits, compliance readiness, and regulatory reporting. Build executive dashboards and KPIs. Partner with clinical ops, compliance, and engineering to resolve billing and documentation issues. Medical Billing & Revenue Cycle Management Oversee end‑to‑end...

Job Description Job Description At TURN our mission is Improving Lives. Our organization embraces the tenets of client-centered care, and our core values People , Culture and Growth are at the forefront of everything we do. We hire exceptional individuals seeking meaningful opportunities in a purpose-driven environment. JOB SUMMARY Data entry, reporting, and timely completion of billing and reimbursement functions. This position may also work with medical records consistent with health care ethical, legal, and regulatory requirements. RESPONSIBILITIES Reasonable accommodation may be made for individuals with disabilities to perform essential job functions. Communicate level of staff accurate and timely documentation, and if meeting minimum billable requirements for direct client services. Capture and enter billing, corrections, reconciliations to ensure accuracy. Complete admissions and discharges in EHR. Compile and maintain patients' medical records...

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

Fantastic opportunity with our client in Orange County! Fast paced and growing Medical Billing industry company looking for their next Accounts Receivable Specialist for either a direct hire opportunity. This role is onsite in Aliso Viejo. Exact compensation may vary based on skills, experience and location. Expected starting base salary $43,680 to $49,920 per year. Job Description: Prepare medical policies and checks quarterly for updates Help analyze and research unpaid insurance claims and requests Review all aspects of claim Perform required oral and written communications to payers Help facilitate payer reimbursements Analyze and compose payer appeals on outstanding accounts receivable issues Experience: Associate preferred and a minimum of 1 years' relevant AR experience Direct Medical billing experience highly preferred. REF 47440 #LI- POST #ZR #Ind-LA-OC

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 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...

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

Job Description Job Description Salary: $25-$30 Hourly, DOE About AmeriPharma AmeriPharma is a rapidly growing healthcare company where you will have the opportunity to contribute to our joint success on a daily basis. We value new ideas, creativity, and productivity. We like people who are passionate about their roles and people who like to grow and change as the company evolves. AmeriPharmas Benefits Full benefits package including medical, dental, vision, life that fits your lifestyle and goals Great pay and general compensation structures Employee assistance program to assist with mental health, legal questions, financial counseling etc. Comprehensive PTO and sick leave options 401k program Plenty of opportunities for growth and advancement Company sponsored outings and team-building events Casual Fridays Job Summary As an Insurance Coordinator at AmeriPharma, you will be responsible for accurate and timely verifications of patients medical insurance...

A medical practice in California is seeking a Medical Biller. This role involves working closely with patients to assist with billing and insurance inquiries, processing claims, and maintaining accurate billing documentation. Candidates should have at least 3 years of experience in medical coding and billing, alongside strong customer service skills and attention to detail. This position offers opportunities for advancement and a supportive work environment. #J-18808-Ljbffr

SERVICE Collaborates to serve our patients effectively and compassionately, each other and the community Anticipates customer’s needs. Maintains a calm, quiet, healing environment. Accepts assignments graciously and carries out duties with pride; recognizes that every individual has an area of expertise, and his/her contribution is valuable. Keeps patients, families, customers, and team members informed about time, thanks the person for waiting, and apologizes for delays. Responsibilities Reports to: Manager, Coding The radiation oncology coder will be responsible for abstract orders, charges and related diagnoses from radiation oncology records to ensure services billed are consistent with the record documentation. The coder will ensure compliance with all the clinical billing and coding regulations and will work with the faculty and staff to ensure accurate documentation of billable services. The coder will determine and input appropriate ICD-10 CM and other codes for all...