Billing Specialist

• Collaborate with global and domestic cross-functional teams to resolve patient questions, concerns, and issues related to Medicare coverage, claims, denials, and patient responsibility
• Handle high-volume inbound and outbound calls related to Medicare billing statements, coverage, payment plans, and coordination of benefits (COB)
• Accurately document all patient interactions, including inquiries, complaints, and resolutions, ensuring compliance with Medicare and internal documentation standards
• Interpret EOBs and explain Medicare patient responsibility, coverage limitations, and claim outcomes
• Verify insurance eligibility, benefits, and coverage through payer portals, with a focus on Medicare qualification and active coverage
• Review and recalculate invoices as needed to ensure alignment with Medicare billing rules and reimbursement guidelines
• Manage and resolve denials and appeals, ensuring proper documentation and adherence to Medicare requirements for medical necessity and claims processing including Medicare audits
• Request and validate clinical documentation, prescriptions, and supporting records required to meet Medicare medical necessity standards
• Coordinate with internal teams to ensure claims are clean, accurate, and ready for submission or resubmission
• Respond to patient communications across multiple channels, including phone, email, portal, and fax
• Route complex issues to appropriate teams while maintaining ownership of resolution
• Ensure adherence to HIPAA, confidentiality, and Medicare compliance requirements at all times
• Follow up on open tasks, worklists, and outstanding issues in a timely manner
• Support equipment recovery processes when treatment ends or Medicare benefits terminate
• Maintain knowledge of Medicare billing, reimbursement guidelines, and DMEPOS requirements

Medicare Specialist – Medicare Billing

• Manage daily services billing operations, including time & materials, fixed fee, and recurring billing
• Actively participate in billing activities, including invoice review, adjustments, and issue resolution
• Support mid-month and month-end billing cycles to ensure timely and accurate invoice generation
• Review invoices, credits, and adjustments for accuracy and alignment with contracts
• Lead and support a small team of billing specialists, including workload management and coaching
• Help ensure team adherence to billing timelines and internal SLAs
• Serve as a point of escalation for billing questions and issues
• Partner with Project Managers and Operations to resolve billing discrepancies and ensure alignment with project activity
• Monitor time entry and approval status, following up as needed to support timely billing
• Provide visibility into unbilled activity and open items impacting billing
• Assist with monthly reviews of billed and unbilled activity
• Support investigation of variances between billing data and financial reporting
• Partner with Finance to provide detail and context on billing-related items as needed
• Identify opportunities to improve billing processes and reduce manual effort
• Support PSA/ERP systems (e.g., Changepoint, Intacct) related to billing activities
• Help ensure consistency and accuracy in billing workflows and documentation

Billing Operations Supervisor

• Coordinates and facilitates patient billing and collection activities
• Processes payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications
• Researches payments, denials, and accounts
• Builds strong working relationships with assigned business units

PFS Representative, CBO Billing, Follow-up, Denials Management

• Claim Lifecycle Management: Prepare, review, and submit clean claims daily through Open Dental to ensure rapid reimbursement.
• Insurance Verification & Breakdown: Obtain detailed, accurate insurance breakdowns and input them cleanly into patient files.
• Payer Liaison: Proactively follow up on outstanding, denied, or rejected claims, fighting the good fight on behalf of our practices.
• Administrative Accuracy: Audit aging reports, process co-pays, and post insurance payments with sharp, reliable attention to detail.

Billing & Insurance Coordinator

• Review and reconcile client eligibility and payments.
• Determines active, retiree, and COBRA eligibility based on plan sponsor plan provisions.
• Processes enrollment eligibility files and completes enrollment edits in system queues.
• Enter new employees and dependents into the system and make changes to existing records as required.
• Ensure identification cards are ordered correctly and timely according to plan sponsor and company guidelines.
• Post & reconcile client payments.
• Process vendor disbursements and reconciles payments according to vendor requirements and company guidelines.
• Disburse end-of-the-month reports to clients as required.
• Completes the review of and responds to vendor discrepancy reports as assigned.
• Interprets and communicates COBRA and HIPAA regulations.
• Handles self-pay administration according to plan provisions and guidelines.
• Answers email and call inquiries from participants, clients, vendors and local unions.
• Provides customer service and maintains effective relationships with clients, participants, agents, and brokers.
• Update and maintain Client Policy and Procedure document.
• Adheres to and is responsible for the understanding of company eligibility policies and procedures and resources.
• Meets department production and quality metrics.
• Participates in and contributes to mandatory department meetings, training, and company events.
• Completes company, department, or plan sponsor special projects.
• Follows company attendance policy and adheres to provisions in the collective bargaining agreement.
• Upholds and exemplifies company values.
• Performs other duties as assigned.
• Review and process all internal and client specific weekly and/or monthly reports.
• Email and Group folder organization.

Billing & Eligibility Coordinator

• Run detailed and comprehensive reporting to provide insight into client billing status
• Investigate invoices on 3rd party billing portals to identify client billing exceptions
• Identify root cause of client billing exceptions, and resolve exceptions
• Suggest and implement client billing process changes to avoid exceptions
• Partner with AR, Cash Applications and Credit departments

Client Billing Coordinator

• Overseeing the daily operations of the billing and collections department
• Ensuring accurate and timely submission of claims and invoices
• Managing revenue cycle processes
• Leading a team to maximize collections
• Focusing on reducing claim denials and managing payments per payer contracts
• Optimizing cash collections in a high-volume setting
• Supervising billing and AR staff, assigning daily work, training new employees, and mentoring team members on billing techniques
• Developing and implementing policies, procedures, and best practices to improve billing efficiency and revenue integrity
• Monitoring AR aging reports to identify and resolve delinquent accounts, underpayments, and denials
• Managing the resolution of rejected claims, submits appeals for denied claims, and reconciling pharmacy payments
• Ensuring compliance with HIPAA, state/federal regulations, and payer contracts
• Generating and analyzing financial reports, tracking key performance metrics for pharmacy leadership
• Serving as a liaison between the pharmacy staff, finance department, and insurance payers regarding billing issues

Head of Billing and Collections

• Review shipment files to ensure all billable charges, vendor costs, and customer invoices are complete and accurate.
• Validate operational costs, reconcile discrepancies, and resolve billing issues with Operations, Finance, vendors, and customers.
• Monitor shipment profitability and identify opportunities to improve revenue capture and gross profit.
• Investigate low-margin or negative-margin shipments and assist with corrective actions.
• Support month-end close activities through shipment-level cost validation, accruals, and financial reconciliation.
• Review vendor invoices and customer billings to ensure compliance with agreed pricing and company procedures.
• Assist in reducing billing disputes, credit notes, write-offs, and revenue leakage through proactive file reviews.
• Prepare regular reports on revenue, billing accuracy, profitability, and operational performance for branch leadership.
• Analyze trends and identify opportunities to improve financial accuracy and operational efficiency.
• Maintain accurate records and ensure compliance with internal financial controls and billing standards.
• Collaborate with Operations, Finance, and Commercial teams to resolve issues and support continuous process improvements.
• Perform other duties and special projects as assigned.

Revenue & Billing Analyst

• Creating, editing, and finalizing bills in accordance with firm and client requirements and billing attorney directives, reviewing proformas, handling subsequent corrections, and coordinating e ‑ billing
• Preparing and finalizing invoices in line with internal and external regulation and legislation, including Value ‑ Added Tax (VAT), Criminal Finances Act Solicitors’ Accounts Rules, and money laundering regulations, as applicable
• Ensuring successful delivery of invoices and coordinating with revenue and e ‑ billing teams for submission, and helping resolve rejections and reductions
• Generating and reviewing proformas from 3E for informational and billing purposes
• Utilizing computerized billing and payable software modules to complete the billing process and client refunds, and researching and providing information to customers
• Protecting and maintaining any highly sensitive, confidential, privileged, financial, and/or proprietary information that Latham & Watkins retains

Senior Billing Specialist

• Serving as a liaison among attorneys, attorney support, the Global Finance team, and clients, ensuring timely responses to both internal and external inquiries
• Preparing and analyzing complex client billing by meticulously reviewing, approving, and posting client invoices; ensuring all billing activities comply with firm policies, client guidelines, and rate agreements, maintaining a high level of accuracy and precision
• Generating and reviewing proformas from 3E, monitoring work-in-progress (WIP) fees and costs, flags balances to billing attorneys, and addressing WIP balances according to billing attorney instructions, in line with the “Gold Standard”
• Promoting best practice for matter maintenance to ensure the judicious conversion of WIP to cash, including the accurate opening and timely closure of matters, appropriate rate/discount and e-billing setups, proper bill frequency matter coding, prompt submission of time entries, and timely application of BOA balances
• Delivering client invoices to client/E-billing team or tracking delivery of client invoices and matter statuses, ensuring prompt delivery of invoices to client and monitoring invoices not sent, coordinating on client platform and E-billing onboarding tasks
• Protecting and maintaining any highly sensitive, confidential, privileged, financial, and/or proprietary information that Latham & Watkins retains

Billing Coordinator

• Accurate and timely submission of claims for Skilled Nursing Facilities (SNF) to all payers including Medicare, Medicaid, HMO, and Managed Care Insurances.
• Payment posting and ensuring accurate and timely payment from all payers.
• Adherence to all relevant regulations, policies, and billing guidelines.
• Following up on outstanding claims and resolving any billing discrepancies.
• Adjustment and write off posting as necessary.
• AR Metric reporting.
• Trending reporting.
• Meeting all performance goals.
• Providing assistance to other staff for training purposes and claim resolution.
• Other duties as required and assigned.

Regional Billing Specialist

• Prepare, scrub, and submit daily bundled rate claims for Clubhouse Services through the County of San Diego's designated claiming system/EHR and ShortDoyle/MediCal process, in accordance with County and DHCS requirements.
• Apply correct procedure codes, modifiers, place-of-service, and rendering/billing provider data per BHIN 25009, the BH-CONNECT EBP Policy Guide, and County billing manuals.
• Reconcile daily Clubhouse attendance logs and service documentation against claimable member days before submission; flag undocumented or unsupported days to program leadership prior to claiming.
• Track and comply with timely filing requirements and County claim submission calendars.
• Verify MediCal eligibility and aid codes for all Clubhouse members monthly (and prior to claiming), including share-of-cost, other health coverage (OHC), and managed care assignment issues that affect SMHS claiming.
• Coordinate resolution of eligibility discrepancies with program staff and County BHS as needed.
• Work claim denials, disallowances, and voids/replacements; perform root-cause analysis and correct/resubmit within required timeframes.
• Reconcile remittances (835s/EOBs) against submitted claims; maintain accurate accounts receivable aging and escalate underpayments or unpaid claims.
• Prepare monthly revenue reconciliation reports (claimed vs. paid vs. expected at the County bundled rate) for leadership.
• Maintain working knowledge of BHCONNECT Clubhouse Services requirements, including the daily bundled rate structure, medical necessity/eligibility criteria, and documentation standards; monitor DHCS BHINs and County BHS updates for claiming changes.
• Understand the Clubhouse International Accreditation requirement and its impact on claiming eligibility (MediCal claiming is limited to four years total prior to Accreditation); support leadership in tracking accreditation-linked billing status.
• Support internal charter-claim audits and respond to County/DHCS audit requests, recoupments, and cost report or data submissions as assigned.
• Ensure all billing activity complies with HIPAA, 42 CFR Part 2 (where applicable), and MediCal program integrity requirements; report suspected compliance issues immediately.
• Serve as the billing liaison to County of San Diego BHS billing/fiscal contacts for Clubhouse Services claiming questions.
• Train Clubhouse program staff on documentation elements required to support the daily bundled rate.
• Assist with billing workflow buildout, desk procedures, and QA processes for this new service line; support billing for other PHG lines of business as capacity allows.

Billing Analyst

• Ensure every deal that closes is reflected correctly in our systems.
• Translate closed-won deals from Salesforce into configured subscriptions in billing platforms.
• Own the reconciliation between executed order forms and provisioning requests.
• Partner with Engineering to identify automation opportunities and build guardrails.
• Process mid-cycle changes and handle offboarding cleanly.
• Run periodic audits of active subscriptions and support month-end close.

Billing Operations Manager

• Oversee all billing operations for Pain Management Practice
• Ensure accurate, compliant, and timely billing for clinic visits, interventional procedures, injections, diagnostics, and rehabilitation services
• Drive clean claim submission and optimal cash flow
• Manage billing for clinic visits, interventional pain procedures, injections, diagnostics, and rehabilitation services
• Ensure accurate charge entry, claim creation, and timely submission
• Serve as subject matter expert for pain management billing, fees schedules, liens, and direct bill processes
• Supervise billing staff, set productivity standards, and conduct performance reviews
• Partner with coding, authorization, AR, and clinical teams to resolve claim issues
• Monitor billing KPIs including clean claim rate, billing lag, and rejection trends
• Conduct audits and implement corrective action plans as needed

Billing Manager

• Assembling and maintaining all necessary documentation for billing purposes
• Maintaining billing system database
• Identifying, analyzing and reconciling discrepancies in data
• Posting to sub ledgers
• Coordinating account eligibility with Membership areas
• Providing billing information to internal and external contacts
• First line collections
• Professional and timely oral or written communication to internal and external customers
• Fully proficient with daily tasks and able to handle more complex billing situations with minimal guidance.

• Provides Commercial and Government billing and collections support to Insurance Follow up and Accounts Receivable.
• Reviews and submits multi-specialty claims to third party payors.
• Performs account follow-up activities and updates patient registration on accounts.
• Researches, analyzes and resolves complex cases and problem accounts with minimal assistance.
• Serves as a technical resource (subject matter expert) to others.
• Effectively bills, submits appeals and collects monies relative to physician reimbursements.

Revenue Cycle Specialist II – Physician Billing

• Perform monthly billing audits, including fee calculations, account troubleshooting, and adjustment processing
• Review and maintain client accounts and household structures to ensure accurate fee schedule assignments
• Partner with advisors and internal stakeholders to update and maintain billing instructions, ensuring alignment with client agreements
• Reconcile direct debit results and ensure timely and accurate fee collection
• Respond to billing-related inquiries from advisors and Client Service teams in a timely and professional manner
• Partner with Trading and Client Service teams to ensure sufficient account liquidity for billing debits
• Proactively track, manage, and follow up on outstanding, failed, or rejected fee transactions
• Investigate root causes of failed collections and coordinate resolution
• Partner with advisors, Client Service, and Trading teams to facilitate collections, including funding accounts, re-processing fees, or updating client billing setups
• Maintain detailed records of collection efforts and outstanding balances; provide regular reporting on aged receivables and collection status
• Identify trends in collection issues and recommend process improvements to reduce failed or delayed billing

• Provides payments indexing and posting to Patient Financial Services.
• Preparing, indexing, and posting payments.
• Performing daily reconciliation and processing payment transfers.
• Reviewing and submitting claims to payors.
• Performing account follow-up activities.
• Updating information on patient account.
• Research, analyze and resolve complex cases and problem accounts with minimal assistance.
• Submits appeals and collect monies relative to physician reimbursement.
• Services as a technical resource (subject matter expert) to others.
• Assist other team members and cross trained in other Revenue Cycle functions.

Revenue Cycle Specialist III – Billing and Collections

• Supports core demographic production teams through escalation and clarification.
• Troubleshoots cases as needed to determine the appropriate course of action, including escalation when necessary.
• Reviews escalated charge tickets to ensure accuracy of supporting details and proper registration.
• Manually extracts and attaches required documentation from external billing systems when necessary.
• Contacts facilities as needed to obtain necessary information to ensure accurate and complete case billing.
• Maintains strictest confidentiality.
• Performs other duties as assigned.

Billing Charge Entry Specialist II

• Utilize various hospital/physician systems to verify patient, billing and claim information for accuracy
• Perform compliant primary/secondary, tertiary and rebill billing functions which can include electronic, paper and portal submission to payers
• Edit claims to meet and satisfy billing compliance guidelines for electronic and hardcopy submission
• Respond timely to emails and telephone messages as appropriate
• Communicate issues to management, including payer, system, or escalated account issues
• Participate and attend meetings as requested, training seminars and in-services to develop job knowledge
• Serve and protect the hospital community by adhering to professional standards, hospital policies and procedures, federal, state, and local requirements, and JCAHO standards
• Enhance billing department and hospital reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments
• Update patient demographics/insurance information in appropriate systems
• Monitor claims for missing information, authorization, and control numbers (ICN//DCN)
• Follow guidelines for prioritization, timely filing deadlines, and notation protocols within appropriate systems
• Secure needed medical documentation required or requested by third party insurance carriers
• Maintain and respect the confidentiality of patient information in accordance with insurance collection guidelines and corporate policy and procedure
• Utilize provider billing manuals to obtain billing guidelines and requirements
• Import verification and escalation of import/export files
• Special Handling billing included not limited to interim bills, overlap review, redistribution of money for correct claim creation
• Resolve and research billing Rejections

Billing Specialist jobs in California

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Medicare Specialist – Medicare Billing

Billing Operations Supervisor

PFS Representative, CBO Billing, Follow-up, Denials Management

Billing & Insurance Coordinator

Billing & Eligibility Coordinator

Client Billing Coordinator

Head of Billing and Collections

Revenue & Billing Analyst

Senior Billing Specialist

Billing Coordinator

Regional Billing Specialist

Billing Analyst

Billing Operations Manager

Billing Manager

Senior Billing Specialist

Revenue Cycle Specialist II – Physician Billing

Billing Specialist

Revenue Cycle Specialist III – Billing and Collections

Billing Charge Entry Specialist II

Billing Specialist