Medical Biller

MediQuest Staffing; Long Beach (CA); On-site; USD 42,000 - 62,000; Full time

Job summary

MediQuest Staffing partners with a well-established outpatient healthcare clinic in Long Beach, CA to hire a detail-oriented Medical Billing Specialist for the revenue cycle team. This role supports the clinic's mission-driven care and ensures accurate billing workflows in a fast-paced environment.

The ideal candidate has 2+ years of clinic-based billing experience, familiarity with Medi-Cal and commercial payers, CPT/ICD-10 coding knowledge, and experience with HIV/STI billing including

Qualifications

• Minimum 2 years of medical billing in clinic or healthcare setting.
• Familiar with Medi-Cal and commercial payer processes.
• Experience with HIV/STI billing, including PrEP/PEP.
• Experience with 340B programs.
• Strong CPT and ICD-10 coding knowledge.

Responsibilities

• Submit insurance claims accurately and on time.
• Review, correct, and resubmit denied or rejected claims.
• Monitor accounts receivable and follow up on unpaid or underpaid claims.
• Post payments, adjustments, and denials accurately.
• Coordinate with providers and clinical staff to ensure proper documentation and coding.
• Ensure compliance with billing regulations, payer requirements, and internal policies.
• Generate billing, aging, and revenue reports as needed.
• Support audits, desk reviews, and compliance reporting related to billing.

Skills

Medical Billing

HIPAA Compliance

Attention to detail

Payer communications

Tools

Athena EHR

Billing software

Job description

We're partnering with a well-established outpatient healthcare clinic to find a detail-oriented Medical Billing Specialist to join their revenue cycle team. This organization is known for its patient-centered, inclusive approach to care and its commitment to serving the communities it operates in. This is a great opportunity for a billing professional who thrives in a fast-paced clinical environment and wants to make a direct impact on the financial health of a mission-driven healthcare organization.

What You’ll Do:

Medical Billing & Revenue Cycle:

• Submit insurance claims accurately and on time
• Review, correct, and resubmit denied or rejected claims
• Monitor accounts receivable and follow up on unpaid or underpaid claims
• Post payments, adjustments, and denials accurately
• Coordinate with providers and clinical staff to ensure proper documentation and coding
• Ensure compliance with billing regulations, payer requirements, and internal policies
• Generate billing, aging, and revenue reports as needed
• Support audits, desk reviews, and compliance reporting related to billing

Coding & Documentation Support:

• Review clinical documentation for completeness and accuracy
• Ensure appropriate CPT, ICD-10, and modifier usage
• Identify billing trends, errors, or process gaps and recommend improvements
• Maintain accurate billing records and supporting documentation

Systems & Workflow:

• Utilize practice management and billing software effectively
• Maintain patient billing records with strict confidentiality and HIPAA compliance
• Support workflow improvements to increase billing efficiency and accuracy
• Communicate with insurance carriers, clearinghouses, and internal teams as needed

General:

• Participate in staff meetings, trainings, and required compliance education
• Maintain confidentiality and professionalism at all times
• Perform additional duties as assigned to support clinic operations

Requirements:

• 2 years of medical billing experience in a clinic or healthcare setting (required)
• Familiarity with Medi-Cal and commercial insurance billing processes and payer requirements
• Prior experience with HIV/STI and sexual health billing, including PrEP and PEP services, required
• Experience with 340B programs
• Strong knowledge of CPT and ICD-10 coding and insurance billing procedures
• Experience with a practice management or medical billing system (required)Athena EHR experience (preferred)
• Excellent attention to detail and organizational skills
• Experience in community health, safety-net, or nonprofit healthcare settings is a plus
• Must be able to pass a background check upon offer of employment