Med Billing Specialist: Claims & Compliance Expert

Western Sierra Medical Clinic Inc; Glenbrook (CA); On-site; USD 42,000 - 65,000; Full time

Job summary

Western Sierra Medical Clinic in California seeks a Billing Specialist to ensure timely submission of claims and accurate billing across Medicare, Medicaid, and commercial payers. You will work under the Controller, handle credentialing, reporting, and patient communication, while maintaining HIPAA compliance in a busy clinic setting.

CMRS certification is preferred; strong data entry and MS Office skills are required to support billing operations and improve revenue cycle performance.

Qualifications

• High school diploma or equivalent; CMRS certification preferred.
• Proficient in MS Office and data entry with high accuracy.
• Strong understanding of HIPAA regulations and confidentiality.

Responsibilities

• Review patient charges for accuracy and completeness.
• Submit claims to insurers in a timely manner.
• Monitor payments and follow up on denials or partial payments.
• Coordinate with providers and payers to resolve billing issues.
• Prepare audit-ready billing reports for management.

Skills

Billing accuracy

MS Office

Data entry

HIPAA compliance

Education

High School Diploma or GED

CMRS Certification

Tools

Billing Software

Electronic Health Records (EHR)

Job description

Western Sierra Medical Clinic in California seeks a Billing Specialist to ensure timely submission of claims and accurate billing across Medicare, Medicaid, and commercial payers. You will work under the Controller, handle credentialing, reporting, and patient communication, while maintaining HIPAA compliance in a busy clinic setting.

CMRS certification is preferred; strong data entry and MS Office skills are required to support billing operations and improve revenue cycle performance.