Medical Biller W/ California Insurance Experience (Bilingual Spanish - English) at Berry Virtual

[Kindly submit your updated English resume]We are seeking a highly skilled Full-Cycle Medical Biller with extensive experience in U.S. healthcare billing, particularly within California insurance systems. This role requires a deep understanding of the end-to-end billing cycle, including claim submission, payment posting, accounts receivable (A/R), and denial management.The ideal candidate is a proactive problem-solver who can independently navigate complex payer systems while also supporting front-office functions, including patient intake and communication.Key Responsibilities:Manage the full-cycle medical billing process from claim creation to final payment resolutionPerform accurate claim submission and generation using ICD-10 and CPT codingHandle payment posting, reconciliation, and adjustmentsMonitor and manage Accounts Receivable (A/R) to ensure timely collectionsConduct denial management and follow-ups, including appeals and resubmissionsPerform insurance verification and eligibility checksProcess and manage prior authorizations for procedures and servicesNavigate payer portals (e.g., Availity and payer-specific systems) for claims, eligibility, and follow-upsCommunicate with insurance providers regarding claim status, denials, and authorizationsSupport front-office operations, including patient intake and insurance-related inquiriesEnsure compliance with medical necessity documentation and payer requirementsCollaborate with providers and internal teams to resolve billing discrepanciesRequirements2+ years of end-to-end medical billing experience (REQUIRED)Strong proficiency in:Claim submission and generationICD-10 and CPT codingPayment postingA/R managementDenial handling and follow-upsExtensive experience with:Insurance verification and prior authorizations (REQUIRED)Hands-on experience working with:MedicareMedicaid / Medi-Cal (or state equivalent)Medicare Advantage plansHMO plans in California (REQUIRED)Deep familiarity with U.S. insurance portals (e.g., Availity, payer portals)Strong understanding of medical necessity requirementsExcellent communication and problem-solving skillsWillingness to work in US time zones (PST, EST, CST).High school diploma or equivalent.Preferred QualificationsExperience working with Independent Physician Associations (IPAs)Background in Primary Care and/or ENT (Ear, Nose, and Throat) specialtiesExperience with DrChrono EHR (preferred but not required)System and Work Setup Requirements:Internet: Minimum speed of 25 Mbps or higher, with a reliable backup connection available in case of power outages or service provider issues.Processor: Intel Core i5 7th Generation or higher (or equivalent).Memory: 8 GB RAM.Storage: 256 GB SSD or HDD with at least 50% free space available.Webcam: 720p resolution or higher.Operating System: Windows 10 or later (or equivalent).Audio Equipment: Noise-canceling earphones or headset.Workspace: A designated, quiet, and organized workspace free from distractions to ensure productivity and focus.BenefitsPermanent remote work setupCompetitive starting rate paid in USDInternet AllowanceHMO insurance (PH)Paid US holidaysPaid Vacation and Sick Leaves

Medical Biller W/ California Insurance Experience (Bilingual Spanish - English)

Emma

Responsibilities

Skills wanted:

Language(s) required:

Ali Rowlands

Nick Chen

Nick Humphreys

Ali Rowlands

Nick Chen

Nick Humphreys

About Berry Virtual:

mission:

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linktr.ee/berry.virtual

Admin access needed