[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 idóneo 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 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
- HM

📌 Medical Biller w/ California Insurance Experience (México)
🏢 Berry Virtual
📍 México