Medical Billing & Coding Specialist - Claims, Denials & Appeals

DaMar Staffing; Oxnard (CA); Hybrid; USD 48,000 - 64,000; Full time

Job summary

DaMar Staffing is seeking a detail‑oriented Medical Billing Specialist in Oxnard, CA. The role focuses on accurate billing, coding, and payer communications to ensure timely reimbursements.

Responsibilities include processing claims, coding with ICD‑10/CPT/HCPCS, generating cost estimates, and resolving denials. Experience with EHR/EMR systems (Epic/Meditech/PrognoCis) is highly valued.

Qualifications

• High school diploma or equivalent required; Associate’s degree in Healthcare Administration, Billing & Coding, or related field preferred.
• CPC, CCS, or equivalent certification strongly preferred.
• Minimum of 2 years of experience in medical billing, coding, insurance follow‑up, and EHR/EMR systems.
• Strong knowledge of ICD‑10, CPT, and HCPCS coding systems.
• Hands‑on experience with EHR/EMR systems including Epic, Meditech, PrognoCis.
• Familiarity with payer reimbursement guidelines and HIPAA regulations.
• Experience creating cost estimates for medical procedures.
• Skilled in preparing and submitting appeals for denied claims.
• Proficiency with medical billing software and EHR systems.

Responsibilities

• Accurately process and submit medical claims to insurance companies and other third‑party organizations.
• Code procedures using ICD‑10, CPT, and HCPCS standards.
• Generate and communicate cost estimates for procedures based on coverage and contracts.
• Verify billing data in EHR/EMR before claim submission.
• Use EHR/EMR platforms (Epic, Meditech, PrognoCis) for workflows.
• Research and resolve billing discrepancies or denials.
• Prepare and submit insurance appeals per payer guidelines.
• Communicate with patients about billing questions and coverage.
• Track accounts receivable and follow up on outstanding claims.

Skills

Medical terminology

Communication skills

Attention to detail

Problem solving

Organizational skills

Billing knowledge

Education

Associate degree in Healthcare Administration/Billing & Coding

CPC or CCS certification

Tools

Epic

Meditech

PrognoCis

Job description

DaMar Staffing is seeking a detail‑oriented Medical Billing Specialist in Oxnard, CA. The role focuses on accurate billing, coding, and payer communications to ensure timely reimbursements.

Responsibilities include processing claims, coding with ICD‑10/CPT/HCPCS, generating cost estimates, and resolving denials. Experience with EHR/EMR systems (Epic/Meditech/PrognoCis) is highly valued.