Billing & Revenue Cycle Specialist

Tiburcio Vasquez Health Center, Inc.; Hayward (CA); On-site; USD 54,000 - 61,000; Full time

Benefits offered by this job

Medical benefits (100% paid co-pay/ins

Dental coverage

Vision coverage

Retirement plans

Paid leave and holidays

Tuition reimbursement

Pet insurance

Job summary

Tiburcio Vasquez Health Center, Inc. is hiring a Billing Representative to manage the full cycle of third-party and self-pay billing.

The role supports Medicare, Medi-Cal, private insurance, managed care and other payers, with collaboration across TVHC locations to optimize revenue cycle performance. The position is full-time (40 hours/week) with potential evening or Saturday hours, and requires bilingual English/Spanish skills and prior billing experience.

Qualifications

• High school diploma or equivalent.
• Associate degree in accounting or related field strongly preferred.
• Completion of coding and billing coursework.
• Minimum of two years of medical practice billing experience required.
• Bilingual in English and Spanish required.
• Experience with Epic electronic billing and electronic health record systems in an FQHC environment.
• At least one year of accounts receivable experience, including billing, reconciliations, and collections.

Responsibilities

• Establishes, maintains, and updates patient accounts in accordance with TVHC policies and procedures.
• Works collaboratively with the Finance and Accounting Department to maximize reimbursement under all accepted insurance plans and self‑pay arrangements.
• Performs timely follow‑up on denied Remittance Advice/Explanation of Benefits (RA/EOB) for all insurance claims.
• Develops well‑supported, patient‑specific appeal documentation for payers when appeals are warranted, including medical necessity and prior authorization denials.
• Communicate regularly with management and operational staff to support smooth, efficient workflows across health center locations.
• Maintains current knowledge of billing practices, procedure codes, and payer requirements, and escalates compliance, red‑flag activity, and fiscal concerns to appropriate leadership.
• Monitors workflow across multiple sites to ensure timely billing cycles, consistent monthly submissions, and a high standard of accuracy.
• Maintains the highest level of confidentiality to safeguard patient information and records.
• Provides excellent customer service to patients and applies a solutions‑focused approach to billing‑related concerns and complaints.
• Supports the integrity of patient account records and related system documentation.
• Demonstrates the ability to meet or exceed TVHC’s Service Excellence Standards.
• Performs other duties as assigned.

Skills

Verbal communication

Written communication

Analytical skills

Microsoft Excel

Microsoft Word

PowerPoint

Report production

Customer service

Interpersonal skills

Education

Associate degree in accounting or related field

Tools

Epic

Job description

Tiburcio Vasquez Health Center, Inc. is hiring a Billing Representative to manage the full cycle of third-party and self-pay billing.

The role supports Medicare, Medi-Cal, private insurance, managed care and other payers, with collaboration across TVHC locations to optimize revenue cycle performance. The position is full-time (40 hours/week) with potential evening or Saturday hours, and requires bilingual English/Spanish skills and prior billing experience.