Medical biller jobs in Anaheim, CaliforniaCreate job alerts

Job DescriptionDescription: Job Title: Medical Biller II Salary: $25hr-$28hr DOE Location: Tustin, CA Openings: 1 Position Purpose: The Medical Billing Specialist II supports the revenue cycle team by independently performing a broad range of billing functions with moderate complexity. This role is responsible for accurate insurance verification, charge entry, claim submission, payment posting, and resolution of routine denials to ensure compliance with payer requirements and timely reimbursement. Core Duties and responsibilities, include but are not limited to: Insurance & Eligibility Verification • Verify complex insurance coverage (Medi-Cal, Medicare, Managed Care, Commercial, PPO/HMO)., • Research and resolve discrepancies in patient coverage or eligibility., • Perform charge entry and apply CPT, ICD-10, and HCPCS codes., • Review encounter forms for accuracy; flag missing or incorrect documentation for provider follow-up., • Submit clean claims through the clearinghouse; correct rejections requiring payer-specific edits., • Monitor claim acceptance and rejection reports; take corrective action promptly., • Post payments from ERA/EOBs and reconcile with patient accounts., • Apply contractual adjustments and record secondary payments., • Respond to patient billing inquiries with professionalism and accuracy., • Set up and monitor payment plans; explain insurance coverage and patient responsibility., • Generate A/R aging reports, claim status reports, and denial trend summaries., • Communicate with providers, front desk, and registration staff regarding documentation and insurance data accuracy., • Adhere to compliance guidelines for timely filing, HRSA/FQHC billing rules, and payer-specific requirements. Education, Qualifications, and Experience: • Education: High school diploma or equivalent required., • 2+ years of medical billing experience (FQHC or primary care strongly preferred), • Working knowledge of CPT, ICD 10, and HCPCS coding., • Experience with EHR/PM systems (e.g., NextGen, eClinicalWorks, EPIC, etc.)., • Attention to detail, strong organizational skills, and ability to meet deadlines., • FTOC is an in-person organization first, and foremost. Employees are expected to be on-site for their scheduled shifts., • Hours of operation are Monday to Friday 8 a.m. to 8 p.m., however, employee schedules vary, depending on organizational, staffing, community, and patient needs. As such, FTOC may need to modify work schedules to meet such needs., • Holidays and weekends may be required depending on an employee’s department due to organizational, staffing, community, and patient needs as FTOC continues to grow and expand work days and hours., • Overtime may also occur due to organizational, staffing, community, and patient needs. Travel Requirements: • Occasional travel will be required for this position. Must be able to travel to FTOC sites as needed, including short notice. Physical Demands and Working Conditions: • The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions., • While performing the duties of this job, the employee may be required to drive to FTOC facilities as needed. The ability to sit for extended periods of time, and the ability to occasionally lift and/or move up to 25 pounds. Families Together of Orange County (FTOC) is proud to be an equal opportunity employer. FTOC does not discriminate based on race, color, creed, sex, sexual orientation, gender identity or expression, age, religion, national origin, disability, ancestry, marital status, veteran status, medical condition, or any protected category prohibited by local, state or federal laws. Requirements:

Job DescriptionBenefits: • Dental insurance, • Health insurance, • Vision insurance Job Summary We are seeking a Medical Biller/Collector to join our team. The ideal candidate will have a strong understanding of medical billing procedures and insurance guidelines from claim submission to payment collection, Medical Biller/Collector must have experience in handling insurance denials and appeals. Job is not remote. Responsibilities • Timely submission of claims to variety of insurance payers including PPO's, HMO's, Medicare, Medi-Cal, and CalOptima., • Follow up unpaid claims and work toward resolution., • Resolve billing discrepancies.Qualifications, • Must have 2+ years of experience in a hands on Medical Billing/Collection position., • Strong organizational and communication skills., • Be able to time manage and take direction., • Strong computer skills, EMR Skills, • Experience with HMO, PPO, and state payors., • Experience with claim appeals and aging accounts.

Job Description Dental Insurance Biller – Pediatric Dental Private Practice Location: Southern California Schedule: Monday–Friday, 4–5 hours/day after training period Pay: $20 – $30/hour, based on experience What You’ll Do: * Submit, review, and follow up on dental insurance claims for two locations * Manage billing for Denti-Cal and PPO contracted insurance plans * Process eClaims, ERAs, and RTDs using DentalXChange clearinghouse * Verify insurance benefits before treatment * Trace and resolve unpaid, denied, or delayed claims * Accurately post insurance payments and adjustments * Communicate with insurance carriers regarding coverage, appeals, and claim status * Collaborate with front office and clinical teams * Assist in developing efficient billing processes in a new department Preferred Experience: * Orthodontic billing * Medical anesthesia billing Qualifications: * Minimum 2 years of dental insurance billing experience * Working knowledge of Denti-Cal billing and regulations * Experience with PPO plans * Proficiency with DentalXChange or similar clearinghouses * Familiarity with eClaims, ERAs, and RTDs * Detail-oriented, organized, and independent * Strong communication and problem-solving skills Why You’ll Love Working Here: * Flexible Monday–Friday, 4–5 hours/day after training * No weekends * Chance to help build a new billing department * Supportive, family-focused pediatric dental environment * Competitive pay based on experience Company DescriptionWe are a growing private pediatric dental practice with two locations, dedicated to providing exceptional care to children and families.We are a growing private pediatric dental practice with two locations, dedicated to providing exceptional care to children and families.