18 medical billing specialist jobs found in Sunnyvale, CA

Job Description Job Description Job Title: Senior Medical Billing Specialist Position Type: Full-Time, General Recruiting Location: Sunnyvale, California (FULLY ON-SITE) Salary Range / Rate: $70,000 - $85,000 base salary annually Job ID#: 139981   Job Summary: The Senior Billing Specialist will manage the complete medical billing and reimbursement process, focusing on Remote Patient Monitoring, Chronic Care Management, and Medical Nutrition Therapy services. This role involves ensuring compliance with healthcare billing regulations, optimizing revenue capture, and improving the overall billing experience. Key Responsibilities: Insurance & Billing Management: Verify patient benefits and insurance eligibility through insurance providers. Manage the complete billing process (charge entry, claim submission, payment posting, and accounts receivable). Follow Medicare, state programs, and HMO/PPO regulations. Handle claim resubmissions and appeals...

Job Description Job Description Job Title: Medical Billing Specialist Rate: $25 - $26/hr Location: Livermore, CA (100% Onsite) Schedule: Monday–Friday, 7:00 AM–3:30 PM Contract Duration: 1 Year (with possible extension) Contract Type: W2 (must be authorized to work in the US; no sponsorships or C2C) Job Description We are seeking a Medical Billing Specialist to join our client's onsite team in Livermore, CA. In this role, you will be responsible for handling insurance follow-up and claim denials, ensuring that all reimbursements are accurately processed. As the liaison between insurance carriers, patients, and internal departments, you will strive to maintain high-quality standards in customer service and meet daily/monthly productivity goals. Key Responsibilities Insurance Follow-up & Denials: Initiate contact with insurance carriers regarding claim status, address denials, and document all collection activities accurately. Claims & Billing...

Scion Staffing has been engaged to conduct an immediate search for an experienced Medical Billing Specialist for our client, an incredible healthcare organization in San Francisco, CA! This is a full-time, temp-to-hire, onsite role working in the Mission District! Perks: Opportunity to be part of an established, local, and well-respected healthcare leader! Great work culture and an experienced billing team! Pay rate is $26 per hour Wonderful benefits upon conversion to a permanent position! What you will be doing: Checks, researches and verifies encounter data for accuracy and completeness and obtains any missing information from providers and other locations. Codes information about procedures/diagnosis and enters charge information into practice management system. Identifies and tracks EHR/Front-end data errors and reports weekly to the manager. Assists with coding and error resolution. Identifies and resolves patient billing complaints or inquiries....

Job Description Job Description PrideStaff Financial has an immediate onsite opportunity to join our growing company. We are currently seeking a full time Medical Billing Specialist for a well known client in the Central Valley. Job Responsibilities: • Verify medical eligibility; benefit coverage and authorization requirements online or phone. • Obtain authorization if required by plan via fax, email, or online. • Process files within predesignated deadlines. • Contact patients to obtain information to process insurance claims or bill patients accordingly. • Contact Work Comp carriers to obtain information for authorizations and process accordingly. • Preform other duties as needed. Job Requirements: • High School Diploma or Equivalent • Typing minimum of 45 words per minute • 1-2 Years of Medical Billing Experience Preferred Compensation / Pay Rate (Up to): $16.00 - $23.00 Per Hour Company Description PrideStaff is a national staffing company that has been helping...

Medical Billing Specialist PrideStaff Financial is looking for experienced Medical Billing Specialists! We have an immediate onsite opportunity to join a growing company in Tracy, CA. We are currently seeking full-time Medical Billing Specialists. Apply to this posting now or call us today! (209)577-3663 Job Responsibilities: •Verify medical eligibility; benefit coverage and authorization requirements online or phone. •Obtain authorization if required by plan via fax, email, or online. •Process files within predesignated deadlines. •Contact patients to obtain information to process insurance claims or bill patients accordingly. •Contact Work Comp carriers to obtain information for authorizations and process accordingly. •Preform other duties as needed. Job Requirements: •High School Diploma or Equivalent •Typing minimum of 45 words per minute •1-2 Years of Medical Billing Experience Preferred Compensation / Pay Rate (Up to): $17.00 - $19.00 Per Hour

Job Description Job Description Established in 1987, Pacific Medical, Inc. is a distributor of durable medical equipment; specializing in orthopedic rehabilitation, arthroscopic surgery, sports medicine, prosthetics, and orthotics. With the heart of the company dedicated to helping and serving others, we provide our services directly to the patient, medical networks, physician clinics, and offices.  We are dedicated to the advancement of patient care through excellent service and product technology. We have an immediate onsite opportunity to join our growing company. We are currently seeking 4 full-time (M-F 8:00 am-5:00 pm) Medical Billing Specialists for our Tracy office.    Job Responsibilities: • Verify medical eligibility; benefit coverage and authorization requirements online or phone. • Obtain authorization if required by plan via fax, email, or online. • Process files within predesignated deadlines. • Contact patients to obtain information to process insurance...

Established in 1987, Pacific Medical, Inc. is a distributor of durable medical equipment; specializing in orthopedic rehabilitation, arthroscopic surgery, sports medicine, prosthetics, and orthotics. With the heart of the company dedicated to helping and serving others, we provide our services directly to the patient, medical networks, physician clinics, and offices. We are dedicated to the advancement of patient care through excellent service and product technology. We have an immediate onsite opportunity to join our growing company. We are currently seeking 4 full-time (M-F 8:00 am-5:00 pm) Medical Billing Specialists for our Tracy office. Job Responsibilities: •Verify medical eligibility; benefit coverage and authorization requirements online or phone. •Obtain authorization if required by plan via fax, email, or online. •Process files within predesignated deadlines. •Contact patients to obtain information to process insurance claims or bill patients accordingly. •Contact...

Job Description Job Description Job Title: Senior Billing Specialist Position Type: Permanent, Full Time Locations: Onsite 5 days at Sunnyvale, California Salary Range / Rate (Currency): $75,000 - $100,000 - depending on the total experience Job Description: Summary: This position performs complete medical billing and reimbursement functions and is responsible for all aspects of the medical revenue cycle for Remote Patient monitoring, Chronic care management and Medical Nutrition Therapy services. Years of Experience - More than 5 years of relevant experience in the following Experience in primary care or other more general medical departments End to End process of the billing report. (Validations/Approval/Emails to clients) End to end process of the invoicing workflow (Invoice Validation/Audit/AR report) Perform Revenue report analysis for any clinic Support AMs for Provider Meetings with Profit Experience with preparing and presenting the slides for client calls...

Job Description Job Description Active Care Physical Therapy is a world renowned physical therapy clinic seeking highly motivated, professional, out-going and customer-service oriented individual who enjoys working in a fast-paced environment. MEDICAL BILLING Job Description: · Must have experience and knowledge of medical billing · Orthopedic terminology is a plus · Must have knowledge insurance; HMO, PPO; POS; Workers Comp · Answer incoming billing calls, check voicemails daily and respond accordingly and timely · Verify patient eligibility and benefits · Request/process for authorizations · Post patient and insurance payments · Process patient and insurance payments daily · Weekly patient statements · Request for refunds · Follow up on aging accounts receivable; check status on claims and appeals · Scan daily explanation of benefits to billing drive · Submit secondary claims with primary explanation of benefits · Compile deposits as needed · Analyze reports and...

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Job Description Job Description Salary: About Berman Skin Institute (BSI): Founded a quarter century ago by David Berman, M.D., a board-certified dermatologist, BSIs mission is to blend state-of-the-art medical technology and research with a dedication to patient welfare and healing to provide patients with the best possible dermatologic care. Berman Skin Institute is a group of dermatology clinics with eleven medical clinic locations across Northern California, including Los Altos, Cameron Park, Fremont, Placerville, Pleasanton, Roseville, Sacramento, San Francisco, Tracy, Walnut Creek and Yuba City. With a well-established and diverse patient population, BSI has a set of broad and comprehensive service offerings, including medical and surgical dermatology, including treatment for acne, moles, allergic skin reactions, autoimmune diseases, skin infections, Mohs skin cancer surgery, cosmetic dermatology (including laser treatment of unwanted hair, sun damage and wrinkled skin,...

Job Description Job Description Job Summary We are a small Medical Practice. We are looking for a Medical Office Manager and Billing Specialist to help update our office procedures and keep the clinic running smoothly, and work with Medical Blling and Coding . We are a small office so you will be helping with many different aspects to help run smoothly. In this role, you oversee front office staff by setting schedules, approving payroll, and enforcing compliance with HIPAA regulations. Other responsibilities include supervising the creation of electronic health records, which are essential to proper patient care, and assisting with insurance authorizations or medical billing. Applicants should have a degree in healthcare administration and experience working in a medical office. Duties and Responsibilities Schedule and oversee front desk staff Prepare payroll and approve overtime Supervise the creation of patient records Update office procedures Assist with...

IDR is seeking a Coding Auditor to join one of our top healthcare clients Remotely. If you are looking for an opportunity to join a large organization and work within an ever-growing team-oriented culture, please apply today! Position Overview for the Coding Auditor: Coding Education Program : Implement and manage the Coding Education Program by conducting focused audits, monitoring coder accuracy, and carrying out educational initiatives. Educational Delivery : Develop and deliver coding education for assigned groups, addressing questions related to coding and documentation requirements and improving the integrity and quality of patient data. Compliance Support : Serve as a coding resource for department managers, physicians, and administration, providing guidance on ethical coding standards and regulatory requirements. Quality Assurance : Supervise and ensure coding quality for assigned foundations, develop strategies to address non-compliant or high-risk...

Job Description Job Description Prior Authorizations & Medical Claims Follow-up Specialist Job Title:  Prior Authorizations & Medical Claims Follow-up Specialist Location:  San Jose, CA- hybrid role is possible Job Type:  Full Time Reports To:  Billing Operations Manager Job Summary: We are seeking a detail-oriented and organized  Prior Authorizations & Medical Claims Follow-up Specialist  to manage the authorization process and ensure timely reimbursement of medical claims. This role involves obtaining prior authorizations, following up on insurance claims, and resolving denials or payment issues to optimize revenue cycle performance. Experience with DME billing is a plus! Company Overview: We are seeking a friendly, energetic professional who enjoys interacting with patients and thrives in a fast-paced, collaborative environment. If you're looking for a stable, long-term career with opportunities for growth and development, we encourage you to apply. We...

Job Description Job Description Job Title: Certified Professional Coder Job Category: Administrative Reports To: Coding Manager Position Type: Full Time Position  Supervisory Responsibility: This position has no supervisory responsibilities Exempt/Non-Exempt: Non-Exempt Job Description Role and Responsibilities The Certified Coding Specialist is responsible for assigned work queue’s for physician services via medical records (encounter) for office visits, outpatient surgery, office procedures and hospital visits utilizing ICD-10-CM and CPT-4 codes. This requires thorough review of the medical record to validate assigned codes for optimal reimbursement. Research coding and regulatory guidelines that impact coding and billing for services to obtain relevant and timely information for internal utilization utilizing ICD-10-CM and HCPCS/CPT-4 codes. Ensures appropriate charge capture. Essential Functions: Reasonable accommodations may be made to...

Salary : $72,321.60 - $111,612.80 Annually Location : County of San Mateo, CA Job Type: Limited Term Job Number: POSTING ONLY (E306B) Department: San Mateo Medical Center Opening Date: 09/04/2024 Bargaining Unit: 01A Description San Mateo County Health is seeking three Medical Records Coders for the San Mateo Medical Center to provide coding of services. Services provided at San Mateo County Health which require coding include inpatient, outpatient facility, emergency room, long term care, psychiatric, ancillary services, and clinic visits. Current open positions for coding will be focused on professional fee (profee) coding. Majority of work for these positions will be coding of clinic visits with possible profee coding of other chart types. Understanding of code combinations and coding guidelines is crucial for candidates to be successful in this position. Some initial training will be onsite in the Health Information Management Department after which...

Job Summary The Health Information Coder II is a middle-level coder with the knowledge and skill set to utilize the ICD-10-CM, ICD-10-PCS, and CPT classification systems to code acute academic, teaching same-day surgery cases, special procedure cases, observation cases, and any non-office-procedure cases. Cases are coded to comply with the official guidelines for coding and reporting, practice standards and code of ethics for HIMS coder. Cases are abstracted according to UCSF Health policies and procedures. The focus of coding and abstracting is on a range of all primary hospital services. There is minimal review of coding for quality. DUTIES AND ESSENTIAL JOB FUNCTIONS Retrieve and analyze comprehensive medical records and information systems for appropriate documentation and follow-up as appropriate. Evaluate full episode of care for ambulatory surgery cases, special procedures cases, observations cases and any non-office procedure cases and assign appropriate codes...