Medical Biller w/ California Insurance Experience (Bilingual Spanish - English)

[Kindly submit your updated English resume]

We are seeking a highly skilled Full-Cycle Medical Biller with extensive experience in U.S. healthcare billing, particularly within California insurance systems. This role requires a deep understanding of the end-to-end billing cycle, including claim submission, payment posting, accounts receivable (A/R), and denial management.

The ideal candidate is a proactive problem-solver who can independently navigate complex payer systems while also supporting front-office functions, including patient intake and communication.

Key Responsibilities:

• 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 c