Medical Billing Coordinator

All Care To You

Medical Billing Coordinator for healthcare administrative support ensuring timely claims processing and client satisfaction. Requires strong problem-solving skills and billing management expertise.

Posted 6/5/2026full-timeRemote • California • 🇺🇸 United StatesMid-LevelSenior💰 $18 - $22 per hourWebsite

Tech Stack

Tools & technologies

Azure

About the role

Key responsibilities & impact

Conducts timely and accurate follow-up on professional services claims to ensure all requested information has been submitted and claims are being processed utilizing payor portals, secure chat, secure messaging, and telephone calls
Identifies missing payments from the health plan and initiates tracking procedures
Reviews incoming correspondence from health plans and takes appropriate action or escalates to designated team members as needed
Identifies pending claims and determines next steps required to obtain reimbursement for claim
Uses existing queries to review limited new denials for processing errors, appropriately assigns a status based on review, corrects any internal errors and resubmits claims as necessary
Follows up with insurance carriers, providers, or other stakeholders to gather additional information or documentation required for claims resolution
Monitors incoming messages from providers and responds to the provider or escalates the request to the appropriate team member
Identifies claims with more complex issues and escalate them to the appropriate team member for resolution as needed
Research health plan reimbursement policies and procedures, clinical guidelines, coding, and CCI edits to ensure claims are billed appropriately
Communicate effectively with insurance companies, healthcare providers, and their billing staff to resolve claims issues and answer inquiries
Document all interactions and updates in the claims management system
Maintain accurate records of claim status, actions taken, and resolutions utilizing established policies and procedures
Prepare and submit reports on claim follow-up activities and status updates to management as requested
Ensure all claims follow-up activities comply with company policies, industry regulations, and legal requirements
Stay updated on changes in insurance policies, regulations, and industry standards
Must meet quantitative production standard of working 100 – 150 claims per week
Attend departmental and company meetings as required
Identify and report trends which could have an overall negative impact on claim payments such as processing errors, denials, or billing issues
Investigate and resolve discrepancies or issues related to claims processing and payment
Work with other team members and departments ensure proper claim submission
Identify and recommend process improvements to enhance the efficiency and effectiveness of the claims follow-up process
Participate in training and development opportunities to stay current with best practices and industry trends

Requirements

What you’ll need

A minimum of 3 years’ experience as a medical biller or similar role
Excellent technical skills including the ability to work in multiple systems simultaneously and learn new systems quickly
EZ-Cap experience preferred
Electronic Data Interchange (EDI) Clearinghouse (Office Ally) experience preferred
Microsoft Suite – Outlook, Teams, Office365, OneNote, OneDrive, SharePoint
Sequel Server Management Studio
Confluence
Azure
Thorough knowledge of healthcare benefits, network participation, coordination of benefits, referral and authorization requirements, and insurance follow up
Working knowledge of CPT Codes, ICD-10 Codes, Modifiers, MUE, LCD, NCD, and CCI edits
Must have strong time management skills, be able to multi-task, resolve problems utilizing critical thinking, be detail oriented and highly organized
Ability to work in a fast-paced environment while maintaining strict confidentiality
Excellent written and verbal communication skills.

Benefits

Comp & perks

100% employer paid medical, vision, dental, and life coverage
Paid holiday
Paid sick time
Paid vacation time
410k plan
Additional employee paid coverage options available

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

medical billingclaims processingCPT CodesICD-10 CodesModifiersMUELCDNCDCCI editsElectronic Data Interchange (EDI)

Soft Skills

time managementmulti-taskingproblem solvingcritical thinkingdetail orientedhighly organizedeffective communicationconfidentiality