Medical Biller Collector

We are looking for an experienced Medical Biller Collector to join a Surgery Center in Encino. The Medical Biller Collector is ideal for someone with a strong background in healthcare billing and insurance collections who can manage claims activity accurately and follow revenue cycle processes from submission through reimbursement. The Medical Biller Collector position supports surgical and outpatient services by ensuring charges, coding, and payer information are handled correctly and in a timely manner.

Responsibilities:

• Manage end-to-end billing and collections for surgical and related service charges, ensuring timely claim processing and payment resolution.

• Confirm patient coverage, referral or authorization status, and payer details through electronic health record systems and insurer portals before claims are transmitted.

• Enter billing information, post charges, and maintain accurate account records to support clean claim submission.

• Conduct follow-up with insurance carriers on outstanding claims, denials, and unpaid balances across multiple plan types and procedures.

• Review rejected or denied claims, correct billing or coding issues, and resubmit documentation to support reimbursement.

• Audit provider documentation and operative reports to confirm services are fully supported before charges are released for billing.

• Assign appropriate diagnosis, procedure, medication, and supply codes based on clinical documentation and established coding standards.

• Evaluate explanation of benefits statements and payer responses to identify discrepancies, underpayments, or additional appeal opportunities.

• At least 3 years of medical billing experience within the healthcare industry.
• Hands-on knowledge of billing for ambulatory surgery, general surgery, or similar procedural environments.
• Experience working denials, appeals, and insurance follow-up to secure payment on outstanding claims.
• Familiarity with HMO and PPO plans, including eligibility review, payer rules, and authorization requirements.
• Working understanding of medical terminology, explanation of benefits documents, and reimbursement workflows.
• Ability to interpret clinical documentation and apply accurate diagnosis and procedure coding for billing purposes.
• Strong attention to detail with the ability to manage data entry, charge posting, and account review accurately.