[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
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

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