Skills Required and certification
At least 3 years current experience in medical billing and ASC setting.
Certified Professional Coder
Experience with commercial payer billing and facility claims.
Experience with California medical groups, Medicare, HMO’s/IPA’s and/or workers compensation billing.
Knowledge of ASC payer rules and fee schedule
QUALIFICATIONS REQUIRED (EDUCATION, EXPERIENCE, AND SKILLS)
- High School Diploma or GED required
- Minimum three (3) years of recent medical billing and collections experience in a healthcare setting
- Experience with commercial payer billing and facility (ASC) claims
- Demonstrated experience managing denials, appeals, and accounts receivable follow-up
- Experience working in a high-volume medical practice environment
- Working knowledge of medical terminology
- Knowledge of ICD-10, CPT, and HCPCS coding
- Understanding of commercial, PPO, and HMO billing regulations and guidelines
- Strong ability to interpret Explanation of Benefits (EOBs)
- Proficiency in billing software systems
- Proficiency in Microsoft Office (Word and Excel)
- Strong attention to detail and accuracy
- Excellent time management and organizational skills
- Ability to meet deadlines in a fast-paced environment
- Strong written and verbal communication skills
- Ability to work independently and collaboratively
- Professional, calm, and customer-focused demeanor
Pay: $32.00 - $42.00 per hour
Work Location: Hybrid remote in Emeryville, CA 94608
