Medical Billing Specialist/Office administrator - Sunland, CA

Job Overview

Certified Healthcare Billing is seeking a highly skilled, detail-oriented, and experienced Certified Medical Billing & Collections Specialist to join our growing team.

The ideal candidate will have extensive knowledge of medical billing, CPT/ICD-10 coding, insurance claim processing, accounts receivable management, and insurance collections. We are looking for a motivated professional who can independently manage billing accounts, maximize reimbursements, and ensure timely and accurate claim payments.

Key Responsibilities

Process and submit accurate medical claims to commercial insurance, Medicare, Medi-Cal, and other payers.
Verify coding accuracy and compliance with current billing guidelines.
Manage accounts receivable (A/R) and follow up on outstanding insurance claims.
Investigate and resolve claim denials, rejections, and underpayments.
Prepare and submit corrected claims, reconsiderations, and appeals.
Follow up with insurance companies to ensure timely reimbursement.
Review Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs).
Identify reimbursement discrepancies and pursue additional payments.
Monitor aging reports and implement effective collection strategies.
Verify insurance eligibility, benefits, and authorization requirements.
Maintain accurate billing records and ensure HIPAA compliance.
Communicate professionally with healthcare providers, insurance representatives, and patients.
Prepare billing and collection reports and monitor financial performance.
Required Qualifications

Bachelor's degree preferred.
Medical billing or coding certification required (CPC, CCS, CCA, CPB, or equivalent).
Minimum 3–5 years of hands-on experience in medical billing, coding, and insurance collections.
Strong understanding of CPT, ICD-10-CM, HCPCS, and medical terminology.
Extensive experience with insurance denials, appeals, and A/R follow-up.
Knowledge of Medicare, Medi-Cal, commercial insurance, and managed care plans.
Experience with electronic medical records (EMR) and practice management systems.
Strong analytical, organizational, and problem-solving skills.
Excellent written and verbal communication skills.
Ability to work independently, prioritize tasks, and meet collection goals.
Preferred Qualifications

Experience working for a medical billing company handling multiple healthcare practices.
Experience with physician offices, urgent care, and specialty practices.
Knowledge of insurance contracts, fee schedules, and reimbursement methodologies.
Demonstrated success in reducing outstanding A/R and improving collections.
What We're Looking For

We are seeking someone who is proactive, dependable, and results-driven, with a strong understanding of the entire revenue cycle. The successful candidate will take ownership of assigned accounts, identify billing issues, and work diligently to maximize collections.

How to Apply

Please submit your resume, relevant certifications, and a brief summary of your medical billing, coding, and collections experience.

Join CHB Medical Billing and become part of a team committed to accuracy, efficiency, and exceptional revenue cycle management.

Benefits:


401(k)
Work Location: In person