Medical Billing Associate II

Medical Billing Associate II

We are looking for a Medical Billing Associate II to support reimbursement activities for a healthcare organization in Los Angeles, California. The Medical Billing Associate II is well suited for an organized individual who can manage billing follow-up, resolve claim issues, and help improve cash recovery across patient accounts. The Medical Billing Associate II role requires strong knowledge of insurance requirements, denial resolution, and account analysis within a fast-paced, team-driven environment. This role is a hybrid role. Candidates must be able to come into the office 1 day per week.

Responsibilities

• Responsibilities include reviewing submitted claims for accuracy, completeness, and proper routing to the appropriate insurance payer before and after submission; investigating unpaid or denied claims by examining remittance details and payer correspondence, then taking corrective action to move accounts toward payment; analyzing account activity, payment posting, and billing details to identify errors, correct discrepancies, and update balances when charges were processed incorrectly; preparing corrected claims and formal appeals in accordance with payer-specific requirements, ensuring all required records and supporting documents are included; communicating with insurance carriers and related parties to resolve reimbursement obstacles, clarify claim status, and accelerate collections; confirming required authorizations and applicable documentation are attached to claims, and pursuing retro-authorization when needed to support reimbursement; processing or escalating charge adjustments that cannot be billed, following established approval guidelines and documentation standards; handling complex or escalated accounts, identifying recurring billing issues, and contributing recommendations or special project support to strengthen workflow performance; supporting team effectiveness by meeting productivity and quality expectations and assisting with peer guidance or onboarding support when needed.

Qualifications

• 3+ years of experience in medical billing, collections, or revenue cycle operations within a healthcare setting. Hands-on experience working denials, appeals, and payer follow-up to secure accurate and timely reimbursement. Knowledge of hospital billing practices and insurance plans, including HMO, PPO, and Medi-Cal. Ability to research patient accounts, evaluate payment discrepancies, and correct billing errors with strong attention to detail. Familiarity with authorization requirements and documentation needed for clean claim submission and appeal processing. Experience handling high-volume account workloads while maintaining accuracy, productivity, and service standards. Background in pediatrics billing or related healthcare specialty environments is preferred. Strong written and verbal communication skills for interacting with payers, internal teams, and other stakeholders.

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