About this role
Medical Billing/Claims/Collections Specialist
We are looking for an experienced Medical Billing/Claims/Collections specialist to support healthcare and community-based programs in California. This Long-term Contract position will focus on accurate claim preparation, reimbursement follow-up, and timely resolution of billing issues across the revenue cycle. The ideal candidate brings strong Medi-Cal billing knowledge, works confidently with billing platforms such as Office Ally or similar systems, and can help improve payment accuracy through careful review and reporting.
Responsibilities
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Oversee the full medical billing cycle for multiple programs, from claim creation and submission through payment application and account follow-up.
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Complete monthly billing activities for prior service periods and verify that charges, payments, and balances are properly reconciled.
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Prepare, submit, and monitor Medi-Cal and CalAIM claims, addressing rejections or denials by researching issues and making necessary corrections.
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Investigate billing discrepancies and pursue appropriate follow-up actions to strengthen reimbursement results and reduce outstanding accounts.
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Maintain accurate billing documentation and account records within Office Ally or a comparable medical billing system.
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Track accounts receivable activity and support collections efforts by reviewing unpaid claims and escalating issues as needed.
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Produce billing, collections, and reimbursement reports that highlight trends, variances, and areas requiring attention.
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Partner with internal teams to improve charge accuracy, resolve claim-related concerns, and support overall revenue cycle performance.
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At least 2 years of experience in medical billing within a healthcare setting.
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Demonstrated hands-on experience with Medi-Cal billing is required.
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Familiarity with CalAIM billing workflows is strongly preferred.
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Proficiency with Office Ally or similar medical billing software.
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Working knowledge of claims follow-up, payment posting, denials management, and appeals processing.
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Experience supporting collections activity and monitoring accounts receivable.
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Strong attention to detail with the ability to identify discrepancies and resolve billing issues accurately.
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San Francisco, CA
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remote
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Temporary / Contract