Medical Biller, California Insurance Experience – Bilingual Spanish, English

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Berry Virtual

WebsiteLinkedInAll Job Openings

11 - 50 employees

We moved to a different page! Follow us at www.linkedin.com/company/berryvirtual

📋 Description

• - Manage the **full-cycle medical billing process** from claim creation to final payment resolution • - Perform accurate **claim submission and generation** using ICD-10 and CPT coding • - Handle **payment posting**, reconciliation, and adjustments • - Monitor and manage **Accounts Receivable (A/R)** to ensure timely collections • - Conduct **denial management and follow-ups**, including appeals and resubmissions • - Perform **insurance verification and eligibility checks** • - Process and manage **prior authorizations** for procedures and services • - Navigate payer portals (e.g., Availity and payer-specific systems) for claims, eligibility, and follow-ups • - Communicate with insurance providers regarding claim status, denials, and authorizations • - Support **front-office operations**, including patient intake and insurance-related inquiries • - Ensure compliance with **medical necessity documentation** and payer requirements • - Collaborate with providers and internal teams to resolve billing discrepancies

🎯 Requirements

• - **2+ years of end-to-end medical billing experience (REQUIRED)** • - Strong proficiency in: • - Claim submission and generation • - ICD-10 and CPT coding • - Payment posting • - A/R management • - Denial handling and follow-ups • - Extensive experience with: • - **Insurance verification and prior authorizations (REQUIRED)** • - Hands-on experience working with: • - **Medicare** • - **Medicaid / Medi-Cal (or state equivalent)** • - **Medicare Advantage plans** • - **HMO plans in California (REQUIRED)** • - Deep familiarity with **U.S. insurance portals** (e.g., Availity, payer portals) • - Strong understanding of **medical necessity requirements** • - Excellent communication and problem-solving skills • - Willingness to work in US time zones (PST, EST, CST). • - High school diploma or equivalent. • **Preferred Qualifications** • - Experience working with **Independent Physician Associations (IPAs)** • - Background in **Primary Care and/or ENT (Ear, Nose, and Throat)** specialties • - Experience with **DrChrono EHR** (preferred but not required)

🏖️ Benefits

• - Permanent remote work setup • - Competitive starting rate paid in USD • - Internet Allowance • - HMO insurance (PH) • - Paid US holidays • - Paid Vacation and Sick Leaves