Medical Biller

Spark Sleep Solutions•San Jose, CA

6d•Hybrid

About The Position

As a Medical Billing & Insurance Coordinator, you will play a critical role in the financial health of our practice while serving as a trusted resource for our patients. You will be responsible for managing insurance claims, payments, and patient billing inquiries with accuracy, professionalism, and compassion.

Requirements

Minimum of 3 years of medical billing experience preferred
Background in insurance billing, payment posting, and denial management
In-depth understanding of PPO, Medicare, HMO, and Medi-Cal plans
Highly skilled in reading and interpreting EOBs
Proficient with insurance portals and online claim systems
Strong problem-solving and critical-thinking skills
Excellent verbal and written communication skills
Proven ability to multitask and stay organized in a fast-paced environment
Extremely detail-oriented and self-motivated
Dependable, hardworking, and accountable
Comfortable making outbound calls to insurance companies and patients
Professional, calm, and patient-focused demeanor

Responsibilities

Answering billing-related calls and responding to patient inquiries in a professional, clear, and empathetic manner
Confidently contacting insurance companies and patients for payment follow-ups and claim resolution
Processing patient payments accurately and securely
Reviewing, interpreting, and explaining Explanation of Benefits (EOBs) to patients
Submitting and managing medical records requests
Managing claim denials, including research, appeals, and persistent follow-up
Working with PPO, Medicare, HMO, and Medi-Cal insurance plans
Submitting claims, checking claim status, and filing appeals through insurance portals and online systems
Maintaining accurate, well-documented billing records in a paperless environment
Collaborating with clinical and administrative staff to resolve billing discrepancies efficiently