Medical Billing Associate (Contract)

Delfina; San Francisco (CA); On-site; USD 33,000 - 44,000; Part time

Job summary

Delfina is seeking a detail-oriented Billing Associate to support the Billing Manager and Director of Corporate Operations. You will handle medical billing uploads, eligibility checks, and data integrity across EHR systems in a value-based care and fee-for-service environment.

Ideal candidates have 2–5 years in medical billing, familiarity with Medicaid billing, and proficiency in EHRs and office tools. This role is part-time (15–20 hours/week), based in San Francisco, with a competitive hourly

Qualifications

• 2-5 years of experience in medical billing, including Medicaid billing.

Responsibilities

• Complete billing uploads in EHR systems based on exported reporting.
• Cross-reference member lists through EHR systems and payor portals to complete eligibility assessments.
• Maintain data integrity through meticulous notetaking and error-free data entry across multiple systems and platforms.
• Differentiate value-based vs. fee-for-service claims based on payor agreements.
• Prepare reporting for billing and operations teams as needed.
• Review provider documentation to ensure coding accuracy.

Skills

Attention to detail

Communication

Team collaboration

Proactivity

Data integrity

Tools

Tebra

athenaOne

eCW

Microsoft Excel

Microsoft Word

Adobe Acrobat

Google Sheets

Google Docs

Job description

Objective

Support the Billing Manager and Director of Corporate Operations by completing medical billing processes under value-based care and fee-for-service contracts.

About Us

Delfina provides a leading pregnancy care data platform to improve maternal and child health outcomes.

About You

You are an organized and detail-oriented professional with a passion for operational efficiency and teamwork. Ideally, you have several years of experience in medical coding and billing with additional experience in value-based care models. Your proactive mindset, adaptability, and excellent communication skills make you a key contributor to successful billing execution.

Responsibilities

• Complete billing uploads in EHR systems based on exported reporting
• Cross-reference member lists through EHR systems and payor portals to complete eligibility assessments
• Maintain a high level of data integrity through meticulous notetaking and error-free data entry across multiple systems and platforms
• Differentiate value-based and fee-for-service claims based on context of payor agreements
• Prepare reporting for billing and operations teams on an as-needed basis
• Review provider documentation to ensure coding accuracy

Qualifications

• 2-5 years of experience minimum in medical billing, including at least one year experience in Medicaid billing
• Proficiency with
  • A variety of EHR systems (e.g. Tebra, athenaOne, eCW)
  • Microsoft Office and Adobe tools (e.g. Excel, Word, Acrobat)
  • Google Suite (e.g. Sheets, Docs)
• Proactivity in assessing missing data from payor portals and ability to bridge data gaps
• High level of integrity and attention to detail; adaptability to learning various state guidelines
• Desire to work collaboratively with medical, tech, and operations teams
• Openness to, and willingness to provide, constructive feedback to improve operational processes

Preferred Qualifications

• Familiarity with Texas-specific payors and billing guidelines
• Experience working with healthcare technology organizations
• Experience working with value-based care contracts
• Experience in maternal, nutritional, and/or behavioral health fields

We value that everyone at Delfina brings a unique background and perspective. Prospective applicants are encouraged to apply even if they do not meet 100% of the listed qualifications and are encouraged to use their resume and other application materials to demonstrate how their skills meet, or are equivalent to, the listed qualifications.

Time Commitment

15-20 hours per week, variable

Compensation

$24-32 per hour

Application Deadline for Best Consideration

April 30, 2026