Medical Front Office Billing and Coding Coordinator

My Pediatric Home; Redlands (CA); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Dental & Vision

Paid Time Off

1 401(k)

Paid Sick Time

Job summary

My Pediatric Home in Redlands, CA is seeking a skilled Front Office/Billing Specialist to manage the full patient visit cycle. You will verify insurance, collect payments, post charges, and support the care team with accurate revenue cycle activities.

Ideal candidates have at least 3 years of medical front office experience, bilingual Spanish fluency, and a solid background in RCM, claims submission, and payment posting.

Qualifications

• Minimum of three (3) years of front office experience in medical billing and coding.
• Strong, demonstrated experience with Revenue Cycle Management (RCM), including insurance verification, claims submission, and payment posting.

Responsibilities

• Pre-Visit: verify insurance coverage and collect outstanding balances; coordinate PCP changes with plans and patients.
• Visit: verify insurance on date of service; collect payments; support check-in/check-out and scheduling follow-ups.
• Post-Visit: post charges and payments; follow up on outstanding balances; resolve payment discrepancies.

Skills

RCM experience

Bilingual Spanish

Front office coordination

Medical billing

Job description

Responsibilities

This role blends front office coordination with billing, coding, and revenue cycle responsibilities across the full patient visit cycle.

Pre-Visit

• Reviews upcoming patient account balances at least one week ahead of scheduled visits and follows up on outstanding balances across a family's full account.
• Verifies insurance coverage in advance of each visit and resolves any issues before the appointment.
• Coordinates primary care provider (PCP) changes with insurance plans and patients.

Visit

• Verifies insurance on the date of service and maintains accurate, up-to-date insurance records for each patient.
• Collects visit payments and outstanding balances, and processes payments accurately.
• Provides backup support for check-in and check-out, including scanning insurance cards and scheduling follow-up appointments.

Post-Visit

• Posts visit charges daily and posts payments from insurance remittances and paper EOBs
• Follows up with patients and families on outstanding account balances.
• Reviews and resolves payment discrepancies and exceptions.

Billing & Accounts Receivable

• Manages accounts receivable, including insurance appeals, denials,and claim follow-up to maximize collections.
• Maintain thorough documentation of billing transactions and coding activities in accordance with healthcare regulations.
• Submits historical claims and supports quality- and performance-based billing programs.

Administrative & Communication

• Coordinates with community partners to partner with our team to provide patients and families with additional resources.
• Provides back up to answer incoming phone calls and respond to patient messages in a timely manner.

Requirements

• Bilingual fluency in Spanish (spoken and written) is mandatory for this role.
• Minimum of three (3) years of front office experience in medical billing and coding.
• Strong, demonstrated experience with Revenue Cycle Management (RCM), including insurance verification, claims submission, and payment posting.

Preferred

• Current Basic Life Support (BLS) certification.
• Experience working in a pediatric care setting.
• Familiar with IEHP P4P

Additional Qualities We Value

These qualities matter to our team and will be explored throughout the interview process:

• High integrity and strong customer service skills.
• Positive energy, patience, and the ability to stay calm while adapting to a variety of situations.
• A genuine advocate for patients who works collaboratively with the care team.
• Friendly and respectful with children, their families, and colleagues.
• Goal-oriented with strong problem-solving instincts.
• Excellent attention to detail, organizational skills, and time management.
• A willingness to learn, take initiative, and grow within the role.
• Interest in leadership and advancing pediatric and administrative knowledge.

Invested in Your Well-Being

As a medical practice, we believe in building strong relationships not only with our patients but also with our team members. We are proud to offer a comprehensive benefits package designed to support your health, your future, and your work-life balance.

• Health & Wellness: Comprehensive Dental and Vision coverage to keep you and your family healthy.
• Rest & Rejuvenation: Generous Paid Time Off (PTO) and dedicated Paid Sick Time, plus 8 observed holidays throughout the year.
• Future Security: A 401(k) retirement plan to help you reach your long-term financial goals.

Work Schedule

Our standard office hours are Monday through Friday, 8:00 am to 5:00 pm.