Senior Medical Billing Specialist

Senior Medical Billing Specialist Location:

SF Bay Area, CA (Onsite – 5 days/week) Employment Type:

Full-Time, Permanent Compensation:

Competitive base salary + annual bonus + full benefits

About the Opportunity We are partnering with an innovative medical technology and healthcare services organization that supports patients through technology-enabled care programs. This team plays a critical role in managing and optimizing reimbursement across professional medical billing, payer engagement, and revenue cycle operations for outpatient and digitally delivered healthcare services. This role is ideal for a hands-on, detail-oriented medical billing professional who thrives in end-to-end ownership, payer research, data analysis, and continuous process improvement. You will serve as a key contributor ensuring accurate, compliant, and efficient reimbursement while collaborating closely with cross-functional teams including operations, IT, and finance.

Key Responsibilities Perform comprehensive insurance eligibility and benefits verification through direct payer outreach Execute the full medical billing lifecycle, including charge entry, claim submission (CMS-1500 / 837), payment posting, AR follow-up, appeals, and denial resolution Research and interpret Medicare, Medicaid, and commercial payer policies, translating changes into operational billing practices Monitor and analyze accounts receivable aging, reimbursement trends, and denial patterns to identify risks and improvement opportunities Generate and maintain billing, reimbursement, and performance reports to support operational and financial decision-making Conduct audits and data clean-up initiatives to ensure billing accuracy and regulatory compliance Identify and implement strategies to improve first-pass claim acceptance rates and reduce revenue leakage Collaborate with internal stakeholders and technology teams to enhance billing workflows, reporting, and system functionality Maintain detailed documentation of billing activities, payer communications, and process updates Provide billing guidance and training to internal and external partners as needed Ensure strict adherence to HIPAA and healthcare billing regulations Support invoice distribution, payment tracking, and resolution of billing discrepancies Contribute to continuous improvement initiatives across the revenue cycle function

Required Qualifications Bachelor’s degree in healthcare administration, finance, accounting, business, or a related field 5+ years of hands-on experience in professional medical billing or revenue cycle operations Strong knowledge of CPT, ICD-10, and HCPCS coding and reimbursement methodologies Proven experience working with EHR / Practice Management Systems and billing software Solid understanding of payer reimbursement models, AR management, and denial workflows Experience producing and interpreting reimbursement, collections, and aging reports Advanced attention to detail with strong analytical and problem-solving skills Ability to work independently while managing multiple priorities in a fast-paced environment Excellent written and verbal communication skills with a customer-focused mindset Proficiency with Microsoft Office (Excel, Word, PowerPoint) and Google Workspace (Docs, Sheets, Slides)

What’s Offered Full-time, permanent position with regular business hours Competitive base salary plus annual performance bonus Comprehensive medical, dental, vision, and wellness benefits Paid time off and holidays Stable, collaborative onsite environment within the SF Bay Area MedTech ecosystem Opportunity to make a measurable impact on patient access and organizational performance