Medical Biller, California Insurance Experience – Bilingual Spanish, English

Berry Virtual

Full-Cycle Medical Biller in U.S. healthcare billing specifically for California insurance systems.

Posted 7/23/2026full-timeRemote • 🇳🇮 NicaraguaJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in full-cycle medical billing, including claim submission, ICD-10 and CPT coding, and A/R management. Proficient in insurance verification, prior authorizations, and navigating U.S. insurance portals to ensure compliance and timely collections.

Highest-signal resume keywords

Full-Cycle Medical BillingICD-10 CodingCPT CodingInsurance VerificationA/R Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claim SubmissionPayment PostingDenial ManagementPrior AuthorizationsMedical Necessity Documentation

Soft Skills

Excellent CommunicationProblem-Solving

Tools & Technologies

AvailityDrChrono EHR

Industry Keywords

MedicareMedicaidMedicare AdvantageHMO PlansIndependent Physician Associations

About the role

Key responsibilities & impact

- Manage the **full-cycle medical billing process** from claim creation to final payment resolution
- Perform accurate **claim submission and generation** using ICD-10 and CPT coding
- Handle **payment posting**, reconciliation, and adjustments
- Monitor and manage **Accounts Receivable (A/R)** to ensure timely collections
- Conduct **denial management and follow-ups**, including appeals and resubmissions
- Perform **insurance verification and eligibility checks**
- Process and manage **prior authorizations** for procedures and services
- Navigate payer portals (e.g., Availity and payer-specific systems) for claims, eligibility, and follow-ups
- Communicate with insurance providers regarding claim status, denials, and authorizations
- Support **front-office operations**, including patient intake and insurance-related inquiries
- Ensure compliance with **medical necessity documentation** and payer requirements
- Collaborate with providers and internal teams to resolve billing discrepancies

Requirements

What you’ll need

- **2+ years of end-to-end medical billing experience (REQUIRED)**
- Strong proficiency in:
- Claim submission and generation
- ICD-10 and CPT coding
- Payment posting
- A/R management
- Denial handling and follow-ups
- Extensive experience with:
- **Insurance verification and prior authorizations (REQUIRED)**
- Hands-on experience working with:
- **Medicare**
- **Medicaid / Medi-Cal (or state equivalent)**
- **Medicare Advantage plans**
- **HMO plans in California (REQUIRED)**
- Deep familiarity with **U.S. insurance portals** (e.g., Availity, payer portals)
- Strong understanding of **medical necessity requirements**
- Excellent communication and problem-solving skills
- Willingness to work in US time zones (PST, EST, CST).
- High school diploma or equivalent.
**Preferred Qualifications**
- Experience working with **Independent Physician Associations (IPAs)**
- Background in **Primary Care and/or ENT (Ear, Nose, and Throat)** specialties
- Experience with **DrChrono EHR** (preferred but not required)

Benefits

Comp & perks

- Permanent remote work setup
- Competitive starting rate paid in USD
- Internet Allowance
- HMO insurance (PH)
- Paid US holidays
- Paid Vacation and Sick Leaves