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Medical Biller
- TEKsystems (San Diego, CA)
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Job Description
We are seeking an experienced Medical Biller to join our team. This role focuses on investigating and resolving credit balances on patient accounts, particularly those involving government payers such as Medicare and Medicaid. The ideal candidate will have strong analytical skills, attention to detail, and the ability to work independently.
Key Responsibilities:
+ Investigate and resolve credit balances on patient accounts, with emphasis on government payers.
+ Review aged transactions to identify root causes of overpayments and determine appropriate resolution paths.
+ Ensure timely processing of refunds in compliance with CMS 60-day refund rules and other regulatory guidelines.
+ Collaborate with billing, compliance, and finance teams to validate refund accuracy and prevent recurrence.
+ Document findings and maintain audit-ready records for all credit balance resolutions.
+ Monitor and report progress on backlog reduction, highlighting risks and compliance concerns.
+ Support internal and external audit requests related to credit balances and payer activity.
+ Stay current on changes in billing regulations, payer policies, and reimbursement methodologies.
+ Record all collection activities and communications in the billing system per department policies.
+ Work with billing, coding, and registration teams to resolve account discrepancies and ensure claim accuracy.
+ Process refunds, adjustments, and write-offs in compliance with organizational policies.
+ Maintain compliance with HIPAA, CMS, and other regulatory requirements related to patient privacy and billing practices.
Additional Skills & Qualifications:
+ Ability to work independently and manage priorities effectively.
+ Strong proficiency in Excel and general computer skills.
+ Knowledge of Accounts Receivable (AR) follow-up processes.
+ Understanding of billing practices, including CPT codes.
+ Experience with EPIC or similar billing systems.
+ Minimum of 5+ years of relevant experience, with the autonomy to manage complex tasks.
Job Type & Location
This is a Contract position based out of San Diego, CA.
Pay and Benefits
The pay range for this position is $28.00 - $28.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully remote position.
Application Deadline
This position is anticipated to close on Dec 26, 2025.
h4>About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
About TEKsystems and TEKsystems Global Services
We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
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