Billing Specialist

Seneca Family of Agencies

Billing Specialist responsible for processing claims and reimbursements for healthcare services. Collaborating with funders and insurance companies to ensure accuracy in billing and payments.

Posted 5/14/2026full-timeRemote • California • 🇺🇸 United StatesJuniorMid-Level💰 $28 - $31 per hourWebsite

About the role

Key responsibilities & impact

Prepare and submit accurate claims, invoices and required documentation for services, including coding diagnoses and procedure codes
Monitor and track claims to ensure timely submission and investigate and resolve billing inaccuracies and billing related issues
Check eligibility and benefit verification to determine client’s eligibility and if additional private health insurance exists for each client
Collaborate with funders and insurance companies to resolve billing inconsistencies and errors
Communicate with program and QA staff regarding any changes to a client’s eligibility
Bill and collect copays/deductibles from parents/guardians in applicable programs
Upload files to respective systems to apply payments and adjustments and provide reports from the electronic health record system
Review billing denial queues and billing-related reports on a daily basis to ensure the timely processing of claims and denials
Resubmit claims as needed
Communicate with program staff regarding corrections or necessary changes in documentation
Input, complete, and review billing and payment invoices using internal and external Electronic Health Record (EHR) and Clearinghouse systems for assigned program(s) and submit reports in a timely manner
Maintain proper documentation for each claim, including relating to the approval or denial of claims, utilizing the appropriate county forms and systems
Reconcile payments and resolve discrepancies
Work with payers to appeal and correct errors
Stay up to date on changes in billing codes, regulations, and payer policies
Attend all required trainings and meetings

Requirements

What you’ll need

Bachelor’s degree OR Associate degree + 1 year of applicable work experience OR High school diploma/GED + 2 years of applicable work experience
Applicable work experience includes relevant experience in data entry, claims processing, and revenue cycle billing
Familiar with most Medical Insurance Payors including Medi-Cal and commercial insurance preferred
Strong computer skills with a high level of proficiency in Excel
Demonstrated organizational, analytical and problem-solving skills with the ability to move issues forward to resolution
Extremely detail oriented with strong skills in organizing, tracking, and maintaining large amounts of information
At least 21 years of age
TB test clearance, fingerprinting clearance, and any other state/federal licensing or certification requirements

Benefits

Comp & perks

Starting at $28.41 - $30.91 per hour
Salary increases each year
5 weeks of Paid Time off and 11 Paid Holidays
Comprehensive benefits package: Medical, dental, vision, chiropractic, acupuncture, and fertility coverage
50% paid premiums for dependents
Long-term disability, family leave, and life insurance
403b Retirement Plan
Employer-paid Employee Assistance Plan
Scholarship opportunities, ongoing training, and professional development opportunities
Seneca is a Public Service Loan Forgiveness certified employer
Promotional opportunities across the agency in California and Washington

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

claims processingcoding diagnosesprocedure codesbilling reconciliationdata entryrevenue cycle billingbilling denial managementeligibility verificationpayment invoicingappeals management

Soft Skills

organizational skillsanalytical skillsproblem-solving skillsattention to detailcommunication skills

Certifications

TB test clearancefingerprinting clearance