Job Description

Job Title: Medical Biller/Coder & Revenue Cycle Specialist

Location: Visalia, CA (In-Person)
Job Type: Full-Time
Pay: $24 - $28 per hour (Based on experience)
Schedule: Monday - Friday

About the Role:

We are looking for an experienced, detail-oriented, and self-motivated Medical Biller/Coder & Revenue Cycle Specialist to take full charge of our billing, coding, and revenue cycle processes. This role requires a proactive professional who can independently manage billing operations while also guiding front office staff on insurance policies, credentialing, and contract management.

If you have successfully handled billing and revenue cycle operations for a busy medical practice or Medical Billing Company and are looking for a role where your expertise makes a direct impact, we encourage you to apply.

Job Description / Key Responsibilities:

1. Billing, Coding & Revenue Cycle Management:

• all aspects of the revenue cycle, including eligibility verification, claim generation, payment posting, denial management, and collections.
• apply CPT, ICD-10, and HCPCS codes to all services and procedures, ensuring compliance with payer guidelines.
• clearinghouse reports, submit clean claims , and promptly follow up on unpaid, denied, or rejected claims , handling appeals when necessary.
• monthly and quarterly financial reports , providing data-driven insights and recommending process improvements to optimize revenue.

2. Insurance, Credentialing & Contract Management:

• Guide front office staff on insurance policies, ensuring proper verification, benefit explanations, and claim submissions.
• provider credentialing and re-credentialing with insurance companies, ensuring compliance with contract terms.
• with payer contract changes and negotiate contracts to optimize reimbursement rates.

3. Operational & Compliance Oversight:

• Ensure all billing and coding practices adhere to federal, state, and payer-specific regulations to prevent denials and audits.
• Stay current with changes in medical billing regulations, coding updates, and payer policies to ensure maximum reimbursement and compliance.
• Work closely with providers and staff to streamline documentation workflows for accurate and timely billing.

What We’re Looking For:

✔ Experience: at least 4-5 years of hands-on medical billing and coding experience, preferably in primary care and dermatology.
✔ Certification: CPC (Certified Professional Coder) or equivalent preferred.
✔ Self-Starter & Problem-Solver: Ability to manage all aspects of the billing cycle independently , set deadlines, and take initiative without needing constant supervision.
✔ Revenue Cycle Expertise: Strong understanding of insurance claims processing, revenue optimization, and accounts receivable management.
✔ Insurance & Credentialing Knowledge: Proven experience with provider credentialing, contract negotiations, and insurance plan management.
Technical Proficiency: Skilled in EMR systems(Office Ally), billing software, clearinghouses, and reporting tools (Excel, Word, etc.).
✔ Analytical Thinking: Ability to track and analyze revenue trends, identify issues , and implement solutions to maximize reimbursement.
✔ Strong Communication Skills: Must effectively collaborate with front office staff, providers, insurance companies, and patients to ensure smooth billing operations.

Why Join Us?

✔ Competitive pay: $24 - $28/hr, based on experience
✔ Opportunity to take full charge of the billing and revenue cycle
✔ Supportive and professional work environment
✔ Growth opportunities in a stable, procedure-heavy medical practice

Work Conditions:

Work Location: In-person
Remote Work: Not available

How to Apply:

If you are an experienced and proactive medical biller/coder with revenue cycle management expertise and the ability to lead insurance and credentialing operations , we want to hear from you! Apply today by sending your resume and a cover letter detailing your relevant experience to Staffing.mmc5109@gmail.com . This is NOT an entry position .

Job Type: Contract

Pay: $24.00 - $28.00 per hour

Expected hours: 32 – 40 per week

Schedule:

• 8 hour shift

Ability to Commute:

• Visalia, CA 93291 (Required)

Ability to Relocate:

• Visalia, CA 93291: Relocate before starting work (Required)

Work Location: In person

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