Medical Biller

Two openings: one ~2-month assignment, one ~6-month assignment Location: Fully remote Reports to: Billing Manager About the Role A nonprofit human services organization is seeking two temporary Medical Billing Specialists. The Billing Specialists will play a key role in ensuring accurate and timely processing of claims, eligibility verification, and reimbursement for services delivered to clients. Key Responsibilities Enter service data into Alameda County's behavioral health EHR (SmartCare) and reconcile entries to ensure billing accuracy Verify client eligibility through California's Medi-Cal provider portal and the commercial clearinghouse (Optum Revenue Performance Advisor) Communicate eligibility changes, lapses, and coverage updates to the Quality Assurance team and direct care staff Maintain and manage client records within SmartCare Prepare, submit, and track insurance claims, including coding diagnoses and procedure codes Monitor claims for timely submission; investigate and resolve billing inaccuracies Bill and collect copays/deductibles from parents and guardians where applicable Review billing denial queues and resubmit claims as needed Reconcile payments, work with payers to appeal and correct errors, and resolve discrepancies Maintain proper documentation for each claim, including approvals and denials Stay current on changes in billing codes, regulations, and payer policies Qualifications Education and experience: Bachelor's degree, OR Associate degree plus 1 year of relevant experience, OR high school diploma/GED plus 2 years of relevant experience 1-2 years of experience in medical billing, data entry, claims processing, or revenue cycle billing Familiarity with Medi-Cal and commercial insurance payors strongly preferred Prior experience with SmartCare, Optum Revenue Performance Advisor, or similar EHR/clearinghouse systems is a plus Some experience with accruals and AP/credit card reconciliation a plusStrong Excel skills Excellent organizational, analytical, and problem-solving abilities Detail-oriented with proven ability to manage and track large volumes of information Strong written and verbal communication skills Must be at least 21 years of age Ability to clear TB test, fingerprinting, and any other state/federal licensing requirements #J-18808-Ljbffr