We are looking for an experienced Medical Billing/Claims/Collections specialist to support healthcare and community-based programs in California. This Long-term Contract position will focus on accurate claim preparation, reimbursement follow-up, and timely resolution of billing issues across the revenue cycle. The ideal candidate brings strong Medi-Cal billing knowledge, works confidently with billing platforms such as Office Ally or similar systems, and can help improve payment accuracy through careful review and reporting.<br><br>Responsibilities:<br>• Oversee the full medical billing cycle for multiple programs, from claim creation and submission through payment application and account follow-up.<br>• Complete monthly billing activities for prior service periods and verify that charges, payments, and balances are properly reconciled.<br>• Prepare, submit, and monitor Medi-Cal and CalAIM claims, addressing rejections or denials by researching issues and making necessary corrections.<br>• Investigate billing discrepancies and pursue appropriate follow-up actions to strengthen reimbursement results and reduce outstanding accounts.<br>• Maintain accurate billing documentation and account records within Office Ally or a comparable medical billing system.<br>• Track accounts receivable activity and support collections efforts by reviewing unpaid claims and escalating issues as needed.<br>• Produce billing, collections, and reimbursement reports that highlight trends, variances, and areas requiring attention.<br>• Partner with internal teams to improve charge accuracy, resolve claim-related concerns, and support overall revenue cycle performance.
<p>We are looking for an experienced Medical Biller and collections specialist to support coding accuracy, reimbursement follow-up, and account resolution for outpatient services in Fremont, California. This Long-term Contract position is ideal for someone with a strong background in medical coding and collections who can manage claims activity with precision while helping maintain steady revenue cycle performance. The role requires close attention to encounter documentation, payer requirements, and timely collection efforts across insurance, commercial, and patient accounts.</p><p><br></p><p>Responsibilities:</p><p>• Review outpatient encounters and related documentation to assign accurate medical codes using current ICD-10 and CPT guidelines.</p><p>• Prepare, evaluate, and correct claim details to support clean submission and reduce billing errors or payment delays.</p><p>• Follow up on outstanding balances with commercial insurers, workers’ compensation carriers, and patients to drive timely account resolution.</p><p>• Investigate denials, underpayments, and rejected claims, then take appropriate action to secure reimbursement.</p><p>• Maintain complete and organized encounter forms and billing records to support coding integrity and audit readiness.</p><p>• Communicate with internal teams and external payers to clarify coding, billing, and collection issues affecting payment status.</p><p>• Monitor aging accounts and prioritize collection activity based on payer response, account history, and reimbursement potential.</p><p>• Apply certified coding knowledge to ensure services are documented and billed in accordance with regulatory and payer standards.</p><p><br></p><p>If you are interested, please apply today! </p>