Strategic Medical Billing & Claims Specialist

Western Sierra Medical Clinic; Grass Valley (CA); On-site; USD 42,000 - 65,000; Full time

Job summary

Western Sierra Medical Clinic is seeking a Billing Specialist to join our team in Grass Valley, CA. You will manage claims submission, monitor payments, and liaise with patients and insurers to resolve billing issues.

The role requires meticulous attention to detail, knowledge of insurance rules (Medicare/Medicaid), and the ability to process denials and adjustments to ensure timely reimbursement and accurate medical records. Full-time, non-exempt position.

Qualifications

• Reviews patient charges for accuracy and completeness; obtains missing information.
• Knowledge of insurance, especially compliance of Medicare and Medicaid, rules and guidelines.

Responsibilities

• Submit claims to insurance companies.
• Monitor and ensure payments are received in a timely manner.
• Communicate with providers, patients and payers to resolve billing issues.
• Process insurance adjustments and denials; maintain accurate records.
• Prepare reports and maintain organized credentialing and files.

Skills

Billing knowledge

Insurance understanding

Communication

Tools

HIT system

EHR

Job description

Western Sierra Medical Clinic is seeking a Billing Specialist to join our team in Grass Valley, CA. You will manage claims submission, monitor payments, and liaise with patients and insurers to resolve billing issues.

The role requires meticulous attention to detail, knowledge of insurance rules (Medicare/Medicaid), and the ability to process denials and adjustments to ensure timely reimbursement and accurate medical records. Full-time, non-exempt position.