Job Description

Job Description

Senior Medical Billing Specialist

Location: SF Bay Area, CA (Onsite – 5 days/week)

Employment Type: Full-Time, Permanent

Compensation: Competitive base salary + annual bonus + full benefits

About the Opportunity

We are partnering with an innovative medical technology and healthcare services organization that supports patients through technology-enabled care programs. This team plays a critical role in managing and optimizing reimbursement across professional medical billing, payer engagement, and revenue cycle operations for outpatient and digitally delivered healthcare services.

This role is ideal for a hands-on, detail-oriented medical billing professional who thrives in end-to-end ownership, payer research, data analysis, and continuous process improvement. You will serve as a key contributor ensuring accurate, compliant, and efficient reimbursement while collaborating closely with cross-functional teams including operations, IT, and finance.

Key Responsibilities

• Perform comprehensive insurance eligibility and benefits verification through direct payer outreach
• Execute the full medical billing lifecycle, including charge entry, claim submission (CMS-1500 / 837), payment posting, AR follow-up, appeals, and denial resolution
• Research and interpret Medicare, Medicaid, and commercial payer policies, translating changes into operational billing practices
• Monitor and analyze accounts receivable aging, reimbursement trends, and denial patterns to identify risks and improvement opportunities
• Generate and maintain billing, reimbursement, and performance reports to support operational and financial decision-making
• Conduct audits and data clean-up initiatives to ensure billing accuracy and regulatory compliance
• Identify and implement strategies to improve first-pass claim acceptance rates and reduce revenue leakage
• Collaborate with internal stakeholders and technology teams to enhance billing workflows, reporting, and system functionality
• Maintain detailed documentation of billing activities, payer communications, and process updates
• Provide billing guidance and training to internal and external partners as needed
• Ensure strict adherence to HIPAA and healthcare billing regulations
• Support invoice distribution, payment tracking, and resolution of billing discrepancies
• Contribute to continuous improvement initiatives across the revenue cycle function

Required Qualifications

• Bachelor’s degree in healthcare administration, finance, accounting, business, or a related field
• 5+ years of hands-on experience in professional medical billing or revenue cycle operations
• Strong knowledge of CPT, ICD-10, and HCPCS coding and reimbursement methodologies
• Proven experience working with EHR / Practice Management Systems and billing software
• Solid understanding of payer reimbursement models, AR management, and denial workflows
• Experience producing and interpreting reimbursement, collections, and aging reports
• Advanced attention to detail with strong analytical and problem-solving skills
• Ability to work independently while managing multiple priorities in a fast-paced environment
• Excellent written and verbal communication skills with a customer-focused mindset
• Proficiency with Microsoft Office (Excel, Word, PowerPoint) and Google Workspace (Docs, Sheets, Slides)

What’s Offered

• Full-time, permanent position with regular business hours
• Competitive base salary plus annual performance bonus
• Comprehensive medical, dental, vision, and wellness benefits
• Paid time off and holidays
• Stable, collaborative onsite environment within the SF Bay Area MedTech ecosystem
• Opportunity to make a measurable impact on patient access and organizational performance

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