Medical Billing Specialist

Medical Billing Specialist

We are looking for a detail-oriented Medical Billing Specialist to support ophthalmology billing operations in Sacramento, California. This contract opportunity with permanent potential is ideal for someone who can manage claims activity, work confidently with insurance payers, and provide clear billing support to patients and internal teams. The role requires strong experience with medical billing workflows, accounts receivable follow-up, and the effective use of EHR and Epic EMR systems to maintain accurate financial records and timely reimbursement.

• 26 - 31 USD / Hourly

Responsibilities

• Review and confirm patient insurance coverage before services are billed, ensuring eligibility and benefit details are accurately documented.

• Prepare and submit clean claims by assigning appropriate billing information and medical codes based on services rendered.

• Monitor outstanding accounts receivable and follow up with insurance carriers and patients to secure prompt payment.

• Research denied or delayed claims, correct identified issues, and resubmit documentation to support reimbursement.

• Use EHR tools and Epic EMR to maintain billing records, track claim status, and support efficient revenue cycle workflows.

• Respond to billing questions from patients, providers, and insurance representatives with professionalism and clear explanations.

• Maintain accurate account documentation and update billing information to reduce claim errors and payment delays.

• Support compliant billing practices by following current federal, state, and payer-specific regulations and coding guidelines.

• Prior experience in medical billing, preferably within an ophthalmology or specialty practice environment.

• Working knowledge of EHR systems and hands-on experience using Epic EMR in a billing or revenue cycle setting.

• Strong background in accounts receivable management, claim administration, and billing follow-up activities.

• Experience handling appeals and resolving denied claims with insurance payers.

• Understanding of insurance verification, reimbursement processes, and patient billing procedures.

• Familiarity with medical billing regulations, coding standards, and compliance requirements.

• Strong attention to detail, organization, and communication skills in a fast-paced healthcare setting.

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