Medicare Billing & Collections Specialist

CBO; Cerritos (CA); On-site; USD 52,000 - 76,000; Full time

Job summary

Pipeline Health is seeking a Government Biller-Collector for on-site duty in California. The role focuses on timely billing and follow-up for Medicare-related claims, resolving credit balances, and addressing denials and rejections in the billing queue.

Strong data entry and adherence to AIDET patient communication standards are required. Responsibilities include using CMS/Epremise for daily tasks, maintaining accurate records, and coordinating with Pharmacy and other departments to ensure

Qualifications

• At least 2–3 years of current experience in an acute care hospital setting.

Responsibilities

• Process claims and bills to payors through bill editor according to department procedures.
• Monitor and process credit balances for refunds and transfers.
• Work denials and rejections promptly to ensure timely billing.
• Maintain accurate documentation and records for all billings.

Skills

Billing

Medicare

Medi-Cal

HIPAA

AIDET

Tools

CMS/Epremise system

Job description

Pipeline Health is seeking a Government Biller-Collector for on-site duty in California. The role focuses on timely billing and follow-up for Medicare-related claims, resolving credit balances, and addressing denials and rejections in the billing queue.

Strong data entry and adherence to AIDET patient communication standards are required. Responsibilities include using CMS/Epremise for daily tasks, maintaining accurate records, and coordinating with Pharmacy and other departments to ensure