Medical Biller/Collections Specialist

Position Title: Medical Billing Specialist

Location: Salinas, CA

Schedule: Full-Time, Monday–Friday, 8:00 AM–5:00 PM

Compensation: $30-$50

Our nonprofit client is seeking a Medical Billing Specialist to manage medical billing and health information functions related to program-based healthcare and support services. This role is responsible for accurate and timely claims submission, compliance with public and private payer requirements, and maintaining high-quality documentation that supports program operations and financial sustainability. The position requires strong attention to detail, confidentiality, and collaboration with program and administrative staff.

Essential Duties and Responsibilities

• Prepare, submit, and track electronic and paper claims to public and private payers, ensuring accurate coding and required documentation.
• Monitor claim status, resolve denials and underpayments, and resubmit corrected claims as needed.
• Post payments and adjustments, reconcile remittance advice, and maintain accurate billing records.
• Review service notes and encounter documentation for completeness, clarity, and compliance with payer and program standards.
• Communicate with program and administrative staff regarding documentation requirements, billing timelines, and follow-up items.
• Maintain organized and secure electronic records in billing, EHR, and related systems.
• Assist with internal billing audits, quality assurance initiatives, and preparation for external monitoring or reviews.
• Ensure billing practices align with payer, contract, and regulatory requirements, including timely filing limits.
• Support preparation of reports related to service utilization, revenue, and billing activity.
• Protect all client information in accordance with HIPAA and applicable privacy regulations.
• Participate in staff meetings, trainings, and team discussions as needed.
• Perform other related duties as assigned.

Education and Experience

Associate’s degree in Health Information Technology, Healthcare Administration, Billing/Coding, or a related field; or equivalent combination of education and directly related experience.

At least 2 years of experience in medical billing, preferably including Medicaid/Medi-Cal or other public payer billing.

Knowledge, Skills, and Abilities

Working knowledge of standard billing practices, including CPT/HCPCS and ICD-10 coding.

Ability to read and interpret payer bulletins, remittance advice, and denial codes.

High level of accuracy, attention to detail, and follow-through.

Strong organizational and time-management skills with the ability to manage multiple priorities and deadlines.

Clear written and verbal communication skills with clinical and non-clinical staff.

Ability to work independently and collaboratively in a team-oriented environment.

Proficiency with Microsoft Office or Google Workspace, including word processing, spreadsheets, email, and shared drives.