Medical Biller

We are a neurology practice committed to providing compassionate, patient-centered care for a wide range of neurological and pain conditions. Our team provides thorough evaluations, advanced diagnostics, and personalized treatment plans designed to improve function, manage chronic conditions, and enhance overall quality of life.

Guided by a mission of accessibility, integrity, and high-quality care, we value professionalism, clear communication, and seamless coordination across every step of the patient journey — from clinical visits to scheduling, billing, and insurance support.

We are seeking a resourceful and detail-oriented Medical Biller to lead end-to-end billing operations, manage claims and payment posting, coordinate insurance requirements, and support revenue cycle functions. This role is essential to maintaining accurate, timely billing processes and requires strong independence, follow-through, and problem-solving skills.

What You'll Be Doing

• Billing & Claims Management
• Bill out claims using AdvancedMD and follow up on outstanding claims.
• Apply incoming EOBs, patient payments, and insurance payments; maintain accurate patient account ledgers.
• Enter outgoing billing and maintain accurate billing records.
• Research medical coding, billing guidelines, and payer requirements; write coding sheets for providers as needed.
• Handle personal injury billing and act as point of contact for law offices; complete follow-up for any legacy personal injury accounts (pre-Sol Med and PNC).
• Address claim correspondence from insurance companies and medical offices and complete any required follow-up.
• Act as the primary or sole subject-matter expert in the office for most billing tasks — responsible for training/backup guidance when needed.

Authorizations & Referrals (High-Volume Responsibility)

• Complete insurance authorizations for procedures and studies (TCD, PFO, VNG, Botox, medication requests, etc.).
• Primary responsibility: Obtain authorizations for all studies/orders for the assigned provider — this is a major ongoing duty and requires direct calling to insurance payers.
• Manage retro authorizations for partnership patients (e.g., Medicare HMO contracted in Vallejo) and follow-up on retro RAFs or other payer-specific retro processes.
• Track patients who have appointments but forgot to get authorizations and perform rapid outreach to secure authorizations prior to the appointment when possible.

Medicare Audit & Compliance (Priority)

• Lead and maintain the Medicare audit process — this cannot fall by the wayside. Continue follow-through and documentation for any active audits (an attorney is involved); ensure timely responses and retention of audit records.
• Maintain compliance with HIPAA, payer regulations, and internal documentation standards.

Patient Communication & Support

• Correspond with patients regarding balances, claims, and billing clarifications; collect copays and process payments.
• Call and schedule new patient referrals as needed; follow-up on authorizations/referrals to avoid scheduling issues.
• Respond to patient voicemail boxes and billing-related messages; support front desk by assisting with insurance verification and patient intake when required.

Administrative & Systems Support

• Serve as backup for front desk tasks related to insurance — particularly as new insurance contracts go into effect (update insurance information in the system, validate contracts, and notify staff of changes).
• Manage and maintain voicemail boxes and email correspondence related to billing and insurance matters.
• Use and troubleshoot the 8x8 phone system and Comcast internet-based phone setup for billing/office communications.
• Support Medical Assistants: When Medical Assistants are unable to answer incoming calls, be prepared to receive, triage, or appropriately redirect those calls.
• Complete medical records requests, including subpoenas, attorney requests, audits, and insurance documentation.

Other Responsibilities

• Process completed subpoenas and coordinate with legal contacts when required.
• Assist with scheduling for personal injury cases and any remaining tasks from previous systems or vendors.
• Attend quarterly webinars and training related to billing, coding, and compliance.

Who We're Looking For

You are:

• Highly resourceful, able to research and deep-dive into complex billing and clinical questions to reach an answer independently.
• Detail-oriented and accurate, with strong analytical and documentation skills.
• Organized and able to manage multiple claims, deadlines, and billing cycles concurrently.
• A strong communicator, able to speak professionally with patients, insurance representatives, attorneys, and other stakeholders.
• Confident and self-directed, able to troubleshoot denials and resolve billing discrepancies on your own.
• Comfortable with being the go-to person for billing and authorizations in the office.

Requirements

• Minimum 1–2 years of medical billing experience; experience with AdvancedMD (or similar PM/EMR systems) preferred.
• Demonstrated experience handling prior authorizations, Medicare audits, retro authorizations, and personal injury billing.
• Familiarity with Medicare HMO processes and working with contracted partners (experience with Vallejo or similar regional payer relationships a plus).
• Experience using office phone systems (8x8) and managing voicemail/email communications related to billing.
• Proficiency in Microsoft Office, Google Workspace, and Adobe Acrobat.
• Strong understanding of insurance policies, payer requirements, medical coding, and billing compliance.
• Ability to work in a fast-paced clinical setting with confidentiality and professionalism.

Tech Requirements:

• Computer – Minimum i5 processor (or equivalent) with at least 8GB RAM.
• Internet Speed – Minimum 100 MBPS Download Speed, preferably with a backup connection to ensure uninterrupted work.

Schedule:

• Full time
• Monday to Friday Pacific Time Zone

If this sounds like you and you want to be the operational backbone for our billing operations, apply today

Job Type: Full-time

Application Question(s):

• As part of our application process, we request an introduction video. Could you please provide the link to it?

Work Location: Remote